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

Individual provider Family Medicine Physician · NPI 1780837518

Dr. Jason Laurence Pizzola, MD is a Family Practice in Kingsport, Tennessee. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2007, 19 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
19
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
IN
In the registry since
2008
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

201 Cassell Dr
Kingsport, TN 37660-3747
Phone: (423) 245-9626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01065937A (IN)

Record details

NPI number1780837518
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2008
Last updated in NPPESOctober 30, 2015

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2007 (19 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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