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

John R Hereford, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1619931557

John R Hereford, MD is an Obstetrics/Gynecology in Kingsport, Tennessee. Graduated from University of Louisville School of Medicine in 1979, 47 years ago. Practices with State of Franklin Healthcare Associates, PLLC, a 265-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
47
Trained at
University of Louisville School of Medicine
Licensed in
TN
In the registry since
2006
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

2002 Brookside Dr Ste 300
Kingsport, TN 37660-4634
Phone: (423) 530-7900
Fax: (423) 530-7901
Show map & directions

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

Additional practice locations (2)

  • 5000 Monarch Pt Ste 300, Greeneville, TN 37745-4275 — (423) 636-2770
  • 301 Med Tech Pkwy Ste 200, Johnson City, TN 37604-2641 — (423) 794-1300

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD15919 (TN)

Record details

NPI number1619931557
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2006
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing addressPo Box 3889, Johnson City, TN 37602-3889

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice State Of Franklin Healthcare Associates, Pllc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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