About Us

In the 1970’s, the future of healthcare in the Appalachian region faced many challenges. A majority of the medical staff in the area was preparing to retire — but few were stepping in to fill the gaps. As the number of unhealthy people in the region continued to grow, how would an already underserved community be able to get affordable, high-quality care?

Old HMG PhotosLaunch slideshow6 START SLIDESHOW

HMG was the “first” in the Tri-Cities region for many successful endeavors, which have helped to drive down costs & improve health outcomes.

HMG Founders
Several of HMG’s first family physicians. Pictured at the top, left to right: James L. McCoy, MD, Robert C. Lee, MD and J. Bryston Winegar, MD. On the bottom: Jerry L. Miller, MD and Joel D. Gonce, MD.

Dr. Jerry Miller, president of the hospital’s medical staff, envisioned a new way to serve the community with compassion, integrity and respect. Determined to solve the challenge, he and a small group of colleagues believed an independent, physician-owned family practice would have the power to build lasting relationships, deliver quality medical care and engage patients in better health.

Their vision became a reality in January 1977, when a grant from the Robert Wood Johnson Foundation enabled Holston Medical Group (HMG) to open the doors to our first patients.

“We felt a family practice that was doctor-owned, doctor-driven and doctor-led – and that would nurture compassionate relationships – would be extremely successful.”

Dr. Jerry Miller, Founder of HMG

HMG Today

Sapling Grove
In 1998, HMG opened Sapling Grove in Bristol. This facility offered one stop shopping convenience by providing several specialties under one location.

Today, HMG is among the most progressive independent physician groups in the nation. For over 40 years, our “Family of Care” has grown from a handful of family practitioners into a comprehensive, diversified group of nearly 230 primary care physicians, specialists and mid-level providers who offer 24-hour medical/surgical service. With well-coordinated preventive care, our goal is to keep you healthy and out of the hospital.

We want to be your health partner for life. Although healthcare has changed throughout the years, our top priority has always been to serve our patients and the community through high-quality, cost-effective care. This commitment aligns with all of us at HMG – from our board of directors and executive leadership to the front line care team.


Locations in TN & VA




Total Employees


Patient Visits a month

In fact, we’re recognized nationally and regionally for our patient-focused innovation. Our fully transparent “diagnostic cost comparison” tool, for example, can help you make better-informed healthcare decisions. We offer resources to the community that keep you out of the costly hospital setting – including a secure community health information exchange, convenient urgent care locations, outpatient surgery centers and more.

Over the years, we’ve continually embraced change, innovation and growth. Yet our core values have never wavered. From the very beginning, we set out to be your health partner for life. Let us show you how a strong doctor-patient relationship can pave the way for you to achieve your best health.

Sapling Grove Urgent Care

1985 – First to offer after-hours care

Today, HMG operates two dedicated HMG Urgent Care locations, one in Bristol (pictured) and Kingsport.

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Dr. Krein

1989 – First multi-specialty group

With the addition of orthopedic surgeon Steven Krein, MD, HMG became the region’s first multi-specialty physician group. Today, HMG has many specialties, including gastroenterology, OB/GYN & more.

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Physician using online medical records

1995 – First fully integrated electronic medical record (EMR)

Holston Medical Group invested $2.5 million, becoming the largest “beta site”. Today, HMG is known throughout the nation as a pioneer in EMR utilization.

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CT Scan

1999 – First free-standing outpatient diagnostic center

With diagnostic capabilities that rival the nation’s leading research medical centers, each of our state-licensed, ACR-accredited facilities provides fully-digital diagnostic imaging.

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Surgeons in operating room

2001 – First physician-owned outpatient surgery center

The Sapling Grove Surgery Center gives patients the convenience of outpatient surgery in a setting that features state-of-the-art technology.

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Data center security officer

2012 – OnePartner HIE (Health Information Exchange)

Designed to support better population health, OnePartner HIE accommodates the data needs of HMG’s patients & other organizations.

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