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

Bobby Ray Nichols III, FNP-C

Individual provider Nurse Practitioner · NPI 1205468923

Bobby Ray Nichols III, FNP-C is a Nurse Practitioner in Kingsport, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2019, 7 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

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Practice location Address checks out

2204 Pavilion Dr Ste 200
Kingsport, TN 37660-4652
Phone: (423) 224-3900
Fax: (423) 224-3901
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26999 (TN)

Record details

NPI number1205468923
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2019 (7 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients58
Services billed 204 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $1,326 85 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Johnson City Medical Center Hospital · Johnson City, TN
  • Indian Path Community Hospital Hospital · Kingsport, TN
  • Wellmont Holston Valley Medical Center Hospital · Kingsport, TN

Colleagues at Blue Ridge Medical Management Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 286 clinicians in the practice; 12 are shown here.

Other providers in Kingsport