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

Matthew Williams, PA

Individual provider Physician Assistant · NPI 1871488734

Matthew Williams, PA is a Physician Assistant in Kingsport, Tennessee. Qualified in 2025, 1 year ago. Practices with Holston Medical Group PC, a 242-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

105 W Stone Dr Ste 4B
Kingsport, TN 37660-3365
Phone: (423) 578-1570
Fax: (423) 392-6251
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6616 (TN)

Record details

NPI number1871488734
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 11, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing addressPo Box 9, Kingsport, TN 37662-0009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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