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

Mary Axelrad, MD

Individual provider Family Medicine Physician · NPI 1003278672

Mary Axelrad, MD is a Family Practice in Kingsport, Tennessee. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2016, 10 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
TN
In the registry since
2016
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

4848 Fort Henry Dr
Kingsport, TN 37663-3347
Phone: (423) 239-5141
Fax: (423) 239-4869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 208 Medical Park Blvd, Bristol, TN 37620-7343 — (423) 989-4050
  • 917 W Walnut St, Johnson City, TN 37604-6527 — (423) 439-6464
  • 102 E Ravine Rd, Kingsport, TN 37660-3814 — (423) 245-9600

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 58418 (TN)

Record details

NPI number1003278672
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2016
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing addressPo Box 9, Kingsport, TN 37662-0009

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2016 (10 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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