NPIMap

SBH-Kingsport

A Medicare group practice based in Kingsport, TN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8325399256), with 31 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8325399256The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
TN
Enrollments
2
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20180917000632 TN Part A Provider - Hospital 1174038749
O20190725001314 TN Part B Supplier - Clinic/Group Practice 1174038749

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 31

Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (10).

Sources for this page