NPIMap

Individual provider Active NPI

Christopher A Pendola, M.D.

  • Neurology Physician
  • Kingsport, TN
National Provider Identifier
1013018431
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD0000027717 Issued in TN
Practice address
430 W Ravine Rd
Kingsport, TN 37660
Phone
(423) 245-3161
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101054282 VA
Neurology Physician 2084N0400X MD0000027717 TN Primary

Addresses

Primary practice location

430 W Ravine Rd
Kingsport, TN 37660

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

2212 N John B Dennis Hwy
Suite C
Kingsport, TN 37660-5894
Phone (423) 224-3940

Other identifiers 1

IdentifierTypeStateIssuer
1526971MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000337 TN Practitioner - NeurologyPractitioner - Neuropsychiatry 2961477484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neuropsychiatry
Education
Louisiana State University School of Medicine in Shreveport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Associated Orthopaedics of Kingsport PCGroup PAC ID 4789846700, 12 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

430 W Ravine Rd
Kingsport, TN 37660-3868
Phone (423) 245-3161

Hospital & facility affiliations

  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Hawkins County Memorial Hospital Hospital, Rogersville, TN, CCN 440032
  • Franklin Woods Community Hospital Hospital, Johnson City, TN, CCN 440184

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000027717TNMDNeurology Physician
0101054282VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Orthopaedics of Kingsport PC CurrentSince Feb 1, 2017 Accepting new patients
Associated Orthopaedics of Kingsport PC CurrentSince Feb 1, 2017 Accepting new patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Wellmont Medical Associates Inc Current Accepting new patients
Associated Orthopaedics of Kingsport PC Past Accepting new patients
Blue Ridge Medical Management Corporation Neurology Past Accepting new patients
Associated Neurologists of Kingsport Neurology PastSince Jan 20, 2017 Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

1 Medical Park Blvd
Ste 300E
Bristol, TN 37620
Phone (423) 245-3161

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

430 W Ravine Rd
Kingsport, TN 37660
Phone (423) 245-3161

Networks

  • TN PPO
  • KY PPO
  • TN PPO C-SNP
  • KY PPO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1579
  • Direct secure messaging: cpendola112586@balladhealth.medalliesdirect.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1013018431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W RAVINE RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-245-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2212 N John B Dennis Hwy",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376605894",
            "country_code": "US",
            "telephone_number": "423-224-3940",
            "fax_number": "423-224-3946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDOLA",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101054282",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD0000027717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526971",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.