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

Kimberly D Roller, MD

Individual provider Family Medicine Physician · NPI 1457544868

Kimberly D Roller, MD is a Family Practice in Kingsport, Tennessee. Qualified in 2006, 20 years ago. Practices with Ultacare Medical PLLC, a 52-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
20
Licensed in
TN, VA
In the registry since
2007
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 Address checks out

1242 W Shipley Ferry Rd
Kingsport, TN 37663-3323
Phone: (423) 239-7300
Fax: (423) 239-7607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 301 Med Tech Pkwy Ste 120, Johnson City, TN 37604-2631 — (423) 794-5590
  • 390 Kane St, Gate City, VA 24251-2753 — (276) 386-3411

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 50121 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101244717 (VA)

Record details

NPI number1457544868
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2007
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Ultacare Medical Pllc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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