Organization Active NPI

Tri City Transport, LLC

  • Non-emergency Medical Transport (VAN)
  • Kingsport, TN
National Provider Identifier
1083597041
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TRI CITY TRANSPORT, LLC
Practice address
1052 Rotherwood Dr
Kingsport, TN 37660-7256
Phone
(423) 480-7811
Fax
(423) 480-7811
NPI assigned
Jul 28, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jessica Evans, PH.D.NPI 1376435644
Title
Ceo
Phone
(423) 480-7811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260521000909 TN Part B Supplier - Ambulance Service Supplier 1052880820 Practice locations: Kingsport, TN

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1052 Rotherwood Dr
Kingsport, TN 37660-7256

Mailing address

1052 Rotherwood Dr
Kingsport, TN 37660-7256
Phone (423) 480-7811

Other names 1

NPPES NPI Registry
  • Tri City Transport Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2025.

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1083597041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 ROTHERWOOD DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607256",
            "telephone_number": "423-480-7811",
            "fax_number": "423-480-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 ROTHERWOOD DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607256",
            "telephone_number": "423-480-7811",
            "fax_number": "423-480-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-480-7811",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri City Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.