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

Dr. Paul Thomas Provance, MD

Individual provider Internal Medicine Physician · NPI 1760429740

Dr. Paul Thomas Provance, MD is an Internal Medicine in Mountain Home, Tennessee. Graduated from Wright State University Boonshoft School of Medicine in 2002, 24 years ago. Practices with Holston Medical Group PC, a 242-clinician group and accepts Medicare assignment. Licensed in Ohio and Tennessee.

Years since qualifying
24
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH, TN
In the registry since
2006
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 Partly verified

Some contact details are missing from the federal record.

James H Quillen VA Medical Ctr
Mountain Home, TN 37684-4000
Phone: (423) 926-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD41434 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.086268 (OH)

Record details

NPI number1760429740
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESNovember 8, 2010

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Mountain Home