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

Dr. Kent J Lord, MD

Individual provider Specialist · NPI 1679785935

Dr. Kent J Lord, MD is an Orthopedic Surgery in Johnson City, Tennessee. Graduated from Medical College of Georgia School of Medicine in 2006, 20 years ago. Practices with Watauga Orthopaedics PLC, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
20
Trained at
Medical College of Georgia School of Medicine
Licensed in
TN
In the registry since
2007
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

2410 Susannah St
Johnson City, TN 37601-1748
Phone: (423) 282-9011
Fax: (423) 282-0035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 875 Larry Neil Way, Kingsport, TN 37660-6368 — (423) 282-9011

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 51867 (TN)
Specialist Taxonomy 174400000X · Licence 51867 (TN)

Record details

NPI number1679785935
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2007
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Watauga Orthopaedics Plc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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