Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vital Path Medical Group LLC

Organization Family Nurse Practitioner · NPI 1700747821

Vital Path Medical Group LLC is a Family Nurse Practitioner in South Pittsburg, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4495 S Pittsburg Mountain Rd
South Pittsburg, TN 37380-6191
Phone: (423) 883-2262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1700747821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Flake — Nurse Practitioner · (423) 883-2262
NPI enumeratedNovember 19, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address4495 S Pittsburg Mountain Rd, South Pittsburg, TN 37380-6191

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