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

Individual provider Gastroenterology Physician · NPI 1043213101

Dr. Dallas Shone, MD is a Gastroenterology in Kingsport, Tennessee. Qualified in 1983, 43 years ago. Practices with Holston Medical Group PC, a 242-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
43
Licensed in
TN, VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

105 W Stone Dr Ste 4C
Kingsport, TN 37660-3256
Phone: (423) 578-1595
Fax: (423) 392-6624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD25581 (TN)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 0101051162 (VA)

Record details

NPI number1043213101
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESJanuary 7, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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