Pedro A Bauza-Feliciano, MD
Individual provider Active NPI Psychiatry Physician · Kingsport, TN
NPI 1104135128 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1104135128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- CDR.0004465 (CO)
- Practice address
- 2000 Brookside Dr
Kingsport, TN 37660-4627 - Phone
- (423) 857-7000
- NPI assigned
- Sep 26, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 65
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Catholic Health Initiatives Colorado
Edward W Sparrow Hospital Association
Allina Health System
SSM Regional Health Services
Onslow Memorial Hospital Inc
Practice addresses (Care Compare)
11600 W 2ND PL
Sah Behavioral Health
Lakewood, CO 80228-1527
Phone (720) 321-0000
1210 W Saginaw St FL
2 Sparrow Behavioral Health Services
Lansing, MI 48915-1927
Phone (517) 364-7700
1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000
2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3249
2701 W Edgewood Dr
101 SSM Health Medical Group Behaviora
Jefferson City, MO 65109-5890
Phone (573) 634-5303
317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-7130
Hospital & facility affiliations
- Centura Health-Penrose St Francis Health Services
- Centura Health-St Anthony Hospital
- Centura Health-St Anthony North Health Campus
- Onslow Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (11 enrollments) in PA, MI, MN, OR, WA, MO, WI, TN, VA, NC, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140814000870 | PA | Practitioner - Psychiatry | 7810114840 | Reassigns benefits to 1 organization |
| I20140819002406 | MI | Practitioner - Psychiatry |
7810114840 | Reassigns benefits to 3 organizations |
| I20220830002626 | MN | Practitioner - Psychiatry | 7810114840 | Reassigns benefits to 1 organization |
| I20220901003509 | OR | Practitioner - Psychiatry | 7810114840 | Reassigns benefits to 1 organization |
| I20220901003546 | WA | Practitioner - Psychiatry | 7810114840 | Reassigns benefits to 1 organization |
| I20220914001092 | MO | Practitioner - Psychiatry | 7810114840 | Reassigns benefits to 1 organization |
| I20230316000378 | WI | Practitioner - Psychiatry | 7810114840 | Reassigns benefits to 1 organization |
| I20240403003622 | TN | Practitioner - Psychiatry | 7810114840 | Reassigns benefits to 1 organization |
| I20240405000803 | VA | Practitioner - Psychiatry | 7810114840 | Reassigns benefits to 2 organizations |
| I20240507002490 | NC | Practitioner - Psychiatry | 7810114840 | Reassigns benefits to 4 organizations |
| I20241108001698 | CO | Practitioner - Psychiatry | 7810114840 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDR.0004465 | CO | MD | Psychiatry Physician |
| 35133831 | OH | MD | Psychiatry Physician |
| 69224 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Eastwood Behavioral Health | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Psychiatry | Current |
Accepting new patients |
| Henry Ford Health System | Psychiatry | Current |
Accepting new patients |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Onslow Memorial Hospital Inc | Current |
Accepting new patients | |
| Tower Health Medical Group | Current |
Accepting new patients | |
| Alamance Regional Medical Center, Inc | Current |
Accepting new patients | |
| Edward W. Sparrow Hospital Association | Psychiatry | Current |
Accepting new patients |
| Allina Health System | Current |
Accepting new patients | |
| Henry Ford Health System | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current |
Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| Legacy Salmon Creek Hospital | Current |
Accepting new patients | |
| SSM Regional Health Services | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Current |
Accepting new patients | |
| Carilion Medical Center | Current |
Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| SSM Regional Health Services | Current |
Accepting new patients | |
| Carolinas Medical Center | Psychiatry | Current |
Accepting new patients |
| Alamance Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Legacy Clinics LLC | Current |
Accepting new patients | |
| Tower Health Medical Group | Current |
Accepting new patients | |
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Carilion Medical Center | Current |
Accepting new patients | |
| Onslow Memorial Hospital, Inc. | Past | Accepting new patients |
Locations (25 of 48)
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
7655 Solutions Ctr
Chicago, IL 60677
8175 Reliable Pkwy
Chicago, IL 60686
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180
1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575
17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
501 Billingsley Rd
Charlotte, NC 28211
Phone (704) 358-2700
700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
Interoperability endpoints
- pbauzafeliciano2998546@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101280394 | VA | |
| Psychiatry Physician | 2084P0800X | CDR.0004465 | CO | Yes |
| Psychiatry Physician | 2084P0800X | 69224 | TN | |
| Psychiatry Physician | 2084P0800X | 35133831 | OH | |
| Psychiatry Physician | 2084P0800X | MD447631 | PA | |
| Psychiatry Physician | 2084P0800X | 4301104729 | MI |
Addresses
Primary practice location
2000 Brookside Dr
Kingsport, TN 37660-4627
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111
Other practice location 2
300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000
Other practice location 3
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-8025
Other practice location 4
22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000
Other practice location 5
1210 W Saginaw St
Lansing, MI 48915-1927
Phone (517) 362-7700
Other practice location 6
11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000
Other practice location 7
1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000
Other practice location 8
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000
Other practice location 9
1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300
Other practice location 10
312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300
Other practice location 11
58 Carroll Street
Lebanon, VA 24266-4510
Phone (276) 883-8000
Other practice location 12
245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000
Other practice location 13
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000
Other practice location 14
851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000
Other practice location 15
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other practice location 16
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121
Other practice location 17
400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
Other practice location 18
2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone (423) 743-3141
Other practice location 19
1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100
Other practice location 20
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-7700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232359401 | Other | PA | MLHC TAX ID |
Other names
- Pedro A Bauza
Other providers in Kingsport, TN
- Richard E Bateman
- Ashley Bates
- Chad Bates
- Steven J Baumrucker
- Barbara Dawn Bausman
- Mark C Baxter
- Caleb Bazyler
- Eric Michael Beaulieu
- James Robert Beck
- Rebecca L Beck
All providers in Kingsport, TN · Psychiatry Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.