Sam W. Huddleston IV MD PC
NPI 1649641200 · Specialist · Kingsport, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sam W. Huddleston IV MD PC is a Specialist organization in Kingsport, TN (NPI 1649641200).
Provider details
- NPI number
- 1649641200
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Sam Huddleston, Owner(423) 245-7080
- License
- MD15029 (TN)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- 2015-10-08
- Last updated
- 2015-10-08
Frequently asked questions
- What is Sam W. Huddleston IV MD PC's NPI number?
- Sam W. Huddleston IV MD PC's National Provider Identifier (NPI) is 1649641200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sam W. Huddleston IV MD PC?
- Sam W. Huddleston IV MD PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Sam W. Huddleston IV MD PC located?
- Sam W. Huddleston IV MD PC's practice location on file with NPPES is 2002 Brookside Dr, Kingsport, TN 37660-4634.
- What is Sam W. Huddleston IV MD PC's phone number?
- The practice phone number listed in the NPPES registry for Sam W. Huddleston IV MD PC is (423) 245-7080.
- Does Sam W. Huddleston IV MD PC accept Medicare?
- Sam W. Huddleston IV MD PC 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 Sam W. Huddleston IV MD PC?
- The authorized official listed on Sam W. Huddleston IV MD PC's NPPES record is Sam Huddleston, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sam W. Huddleston IV MD PC's NPI active?
- Yes — Sam W. Huddleston IV MD PC's NPI (1649641200) is active in the NPPES registry as of the last update on 2015-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.