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

Jared Todd Gremillion, DPM

Individual provider Podiatrist · NPI 1639526577

Jared Todd Gremillion, DPM is a Podiatry in Bristol, Tennessee. Qualified in 2016, 10 years ago. Practices with Holston Medical Group PC, a 242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Tennessee.

Years since qualifying
10
Licensed in
LA, TN
In the registry since
2016
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

240 Medical Park Blvd Ste 1500
Bristol, TN 37620-7353
Phone: (423) 990-2460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1747 Imperial Blvd, Lake Charles, LA 70605-5362 — (337) 721-7236

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 857 (TN)
Podiatrist Taxonomy 213E00000X · Licence POD.INTERN (LA)

Record details

NPI number1639526577
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 20, 2016
Last updated in NPPESJuly 30, 2019
Mailing addressPo Box 9, Kingsport, TN 37662-0009

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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