Provider Demographics
NPI:1427052786
Name:ADKINS, STEVEN MARK (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARK
Last Name:ADKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37662-0009
Mailing Address - Country:US
Mailing Address - Phone:423-857-2066
Mailing Address - Fax:423-857-2070
Practice Address - Street 1:1754 US HIGHWAY 23 N
Practice Address - Street 2:
Practice Address - City:WEBER CITY
Practice Address - State:VA
Practice Address - Zip Code:24290-7071
Practice Address - Country:US
Practice Address - Phone:276-386-9771
Practice Address - Fax:276-386-9387
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD 21464207Q00000X
VA0101045075207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5602718Medicaid
TN3070185Medicaid
VA05603447Medicaid
E87655Medicare UPIN
VA80007187Medicare ID - Type Unspecified
0281780003Medicare PIN
VA05603447Medicaid
VACA0736Medicare PIN
VA80007187Medicare PIN
TN103I086169Medicare UPIN
VA5602718Medicaid
VAC06181Medicare PIN
VA080059536Medicare PIN