Kingston Family Practice, P.C.
NPI 1356432041 · Family Medicine Physician · Kingston, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kingston Family Practice, P.C. is a Family Medicine Physician organization in Kingston, TN (NPI 1356432041).
Provider details
- NPI number
- 1356432041
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dwight Willett, President(865) 376-3406
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2023-05-10
- Certified
- 2023-05-10
Frequently asked questions
- What is Kingston Family Practice, P.C.'s NPI number?
- Kingston Family Practice, P.C.'s National Provider Identifier (NPI) is 1356432041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kingston Family Practice, P.C.?
- Kingston Family Practice, P.C. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kingston Family Practice, P.C. located?
- Kingston Family Practice, P.C.'s practice location on file with NPPES is 820 W Race St, Kingston, TN 37763-2120.
- What is Kingston Family Practice, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Kingston Family Practice, P.C. is (865) 376-3406.
- Does Kingston Family Practice, P.C. accept Medicare?
- Kingston Family Practice, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kingston Family Practice, P.C.?
- The authorized official listed on Kingston Family Practice, P.C.'s NPPES record is Dwight Willett, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kingston Family Practice, P.C.'s NPI active?
- Yes — Kingston Family Practice, P.C.'s NPI (1356432041) is active in the NPPES registry as of the last update on 2023-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.