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

Michael Donald Stallard, MD

Individual provider Orthopaedic Surgery Physician · NPI 1124588249

Michael Donald Stallard, MD is an Orthopedic Surgery in Kingsport, Tennessee. Qualified in 2019, 7 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
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

430 W Ravine Rd
Kingsport, TN 37660-3868
Phone: (423) 245-6161
Fax: (423) 245-8915
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 71129 (TN)

Record details

NPI number1124588249
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2019
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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