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

Patrick Rene Showalter, MD

Individual provider Urology Physician · NPI 1558343830

Patrick Rene Showalter, MD is an Urology in Kingsport, Tennessee. Graduated from Vanderbilt University School of Medicine in 1996, 30 years ago. Practices with Las Cruces Physician Practices, LLC, a 108-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
30
Trained at
Vanderbilt University School of Medicine
Licensed in
TN
In the registry since
2005
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

2204 Pavilion Dr Ste 310
Kingsport, TN 37660-4653
Phone: (423) 246-4155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1 Medical Park Blvd, Bristol, TN 37620-7430 — (423) 844-1121
  • 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 — (423) 431-6111
  • 1747 Medical Center Pkwy, Murfreesboro, TN 37129-2563 — (615) 893-1600

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD0000036172 (TN)

Record details

NPI number1558343830
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 14, 2005
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Las Cruces Physician Practices, Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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