NPI 1124029244 · live from the CMS NPI Registry
John D. Creasy, M.D.
Radiology, Diagnostic Radiology in Kingsport, TN. National Provider Identifier 1124029244, active.
NPI record
| NPI | 1124029244 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 130 W Ravine Rd, Kingsport, TN 37660 |
| Practice phone | 423-968-1144 |
| Mailing address | 3053 W State St, Bristol, TN 37620 |
| Enumerated | August 10, 2005 |
| Last updated | October 8, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 2026013073 (MO) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD-56687 (IA) |
| Radiology, Diagnostic Radiology | 2085R0202X | 81937 (MN) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 31555 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.