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

Henry Renick Hartsoe, DO

Individual provider Family Medicine Physician · NPI 1609455880

Henry Renick Hartsoe, DO is a Family Practice in Mountain City, Tennessee. Qualified in 2021, 5 years ago. Practices with Mountain States Health Alliance, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
5
Licensed in
TN, VA
In the registry since
2021
Specialties on file
2
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

1901 S Shady St
Mountain City, TN 37683-2021
Phone: (423) 727-1100
Show map & directions

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

Additional practice locations (1)

  • 295 Wharton Ln Ne, Norton, VA 24273-1541 — (276) 679-0321

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5715 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence NA (VA)

Record details

NPI number1609455880
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 6, 2021
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mountain States Health Alliance — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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