Ipc Pac Healthcare Services of Tennessee PC
Organization Active NPI Internal Medicine Physician · Bristol, TN
NPI 1104277656 · NPPES record last updated Aug 22, 2026
Key facts
- NPI
- 1104277656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC
- Practice address
- 1 Medical Park Blvd
Bristol, TN 37620-7430 - Phone
- (423) 844-1121
- NPI assigned
- Jun 27, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Randal Dabbs, M.D.
- Title
- Owner/President
- Phone
- (865) 693-1000
Practitioners 239
-
Kimberly J Adams, NP
-
Sara E.B. Andies, NP
-
Erika Crockett, FNP-BC
-
Amy Suzanne Doss, FNP-C
-
Alexandra K Drake, PMHNP
-
Morgan Blake Durant, PMHNP-BC
-
Daniel Rudolph Duzan, M.D.
-
Natascha Haggard, FNP-C
-
Sarah E Hayes, PMHNP
-
Derek Richard Hopko, PHD
-
Vera Ikekhide, PMHNP-BC
-
Elizabeth Illenberg, FNP
-
Tammy Renae Johnson, PMHNP
-
Deanna Kolak, APN
-
Donald Wayne Larkin, PHD
-
Lindsey Nicole Lattimore, FNP-C
-
Amy Christine Lawrence, D.O.
-
Candace Lindsey, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160928000541 | TN | Part B Supplier - Clinic/Group Practice | 0840587572 | Receives reassigned benefits from 235 practitioners |
National Provider Directory
Locations
220 Westwood St
Glasgow, KY 42141
Phone (270) 407-5150
1376 Silver Springs Dr
Lexington, KY 40511
Phone (859) 277-0320
111 Chase St
#H
Byhalia, MS 38611
Phone (626) 838-3670
1966 Hill Dr
Grenada, MS 38901
Phone (662) 226-2442
2041 Grand Ave
Yazoo City, MS 39194
Phone (662) 746-4621
4200 Murfreesboro Pike
Antioch, TN 37013
Phone (615) 501-3500
2910 Peerless Rd NW
Cleveland, TN 37312
Phone (423) 472-7116
2050 Union Pl
Columbia, TN 38401
Phone (931) 230-0742
580 E Veterans Dr
Cookeville, TN 38501
Phone (615) 480-4508
115 Luther Rd
Dickson, TN 37055
Phone (615) 446-3111
1504 W Elk Ave
Elizabethton, TN 37643
Phone (423) 518-1077
7930 Walking Horse Cir
Germantown, TN 38138
Phone (901) 685-5380
240 Hannah Rd
Harriman, TN 37748
Phone (731) 285-9710
5798 Hixson Home Pl
Hixson, TN 37343
Phone (423) 622-4301
100 Strickland Ct
Kingsport, TN 37660
Phone (423) 256-0002
9910 Coward Mill Rd
Knoxville, TN 37931
Phone (423) 569-4705
30 Powers Bridge Rd
Manchester, TN 37355
Phone (931) 728-7549
1513 N 2nd St
Memphis, TN 38107
Phone (901) 272-2494
904 Hidden Acres Ave
Mt Pleasant, TN 38474
Phone (901) 867-7894
85 Shelby Dr
Savannah, TN 38372
Phone (731) 925-1181
111 Prince St
Shelbyville, TN 37160
Phone (931) 684-6976
860 Wolf Creek Trl
Abingdon, VA 24210
Phone (276) 628-1621
18935 Riverside Dr
Grundy, VA 24614
Phone (276) 623-8330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1 Medical Park Blvd
Bristol, TN 37620-7430
Mailing address
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919-4052
Phone (865) 693-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20144 | Other | TN | LICENSE |
Other providers in Bristol, TN
- Jessica Ingle
- Innovative Surgical Solutions, PLLC
- Integrated Health Concepts, LLC
- Integrated Health Concepts, LLC
- Internal Medicine and Pediatric Assoc of Bristol
- Samantha R. Irwin
- Pierre Istfan
- Caytlin Sabryn James
- Sarah Jamshed
- Rachael Janes
All providers in Bristol, TN · Internal Medicine 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 Aug 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.