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

Dr. Michael Glenn Domina, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1396130613

Dr. Michael Glenn Domina, DO is an Obstetrics/Gynecology in Sevierville, Tennessee. Qualified in 2015, 11 years ago. Practices with Obhg Texas Holdings PA, a 177-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Maine, Nebraska, Oregon and Tennessee.

Years since qualifying
11
Licensed in
ME, NE, OR, TN
In the registry since
2015
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

740 Middle Creek Rd Ste 200
Sevierville, TN 37862-5056
Phone: (865) 908-9888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 675 N 5th St Ste 200, Lebanon, OR 97355-2875 — (541) 451-6282
  • 930 Sw Abbey St Ste B, Newport, OR 97365-4820 — (541) 574-7235
  • 105 W Park Dr, Kingsport, TN 37660-3805 — (423) 224-3220
  • 18511 Highlander Medics St, El Paso, TX 79906-5327 — (915) 742-1277

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 5095 (TN)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence DO213625 (OR)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence DO3503 (ME)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence LT22012 (ME)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 1630 (NE)

Record details

NPI number1396130613
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2015
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024
Mailing address303 South Tulane Avenue, 5303, Oak Ridge, TN 37830

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Obhg Texas Holdings Pa — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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