Organization Active NPI

Ipc Pac Healthcare Services of Tennessee PC

  • Internal Medicine Physician
  • Bristol, TN
National Provider Identifier
1104277656
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 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
Last updated
Aug 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Authorized official

Name
Dr. Randal Dabbs, M.D.
Title
Owner/President
Phone
(865) 693-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

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 1

IdentifierTypeStateIssuer
20144OtherTNLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160928000541 TN Part B Supplier - Clinic/Group Practice 0840587572 Receives reassigned benefits from 235 practitioners

National Provider Directory

National Provider Directory

Locations

111 Chase St
Byhalia, MS 38611
Phone (662) 252-1141

111 Chase St
#H
Byhalia, MS 38611
Phone (626) 838-3670

925 Calhoun Ave
Yazoo City, MS 39194
Phone (662) 746-6651

1940 Westland Dr SW
Cleveland, TN 37311
Phone (423) 202-8132

2910 Peerless Rd NW
Cleveland, TN 37312
Phone (423) 472-7116

580 E Veterans Dr
Cookeville, TN 38501
Phone (615) 480-4508

887 Woodlawn Rd
Crossville, TN 38555
Phone (931) 287-2557

1504 W Elk Ave
Elizabethton, TN 37643
Phone (423) 518-1077

409 Grady Rd
Etowah, TN 37331
Phone (423) 262-1138

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

406 E Mountain View Rd
Johnson City, TN 37601
Phone (423) 218-0323

2035 E Stonebrook Pl
Kingsport, TN 37660
Phone (423) 224-3660

3300 N Broadway St
Knoxville, TN 37917
Phone (865) 686-7300

14510 Highway 79
Mc Kenzie, TN 38201
Phone (731) 352-5317

6961 Highway 70 S
Nashville, TN 37221
Phone (615) 673-6922

731 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6616

520 Old Highway 68
Sweetwater, TN 37874
Phone (423) 351-1000

Practitioners & affiliated clinicians

Practitioners 239

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 239

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787356800000",
    "number": "1104277656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY",
            "address_2": "STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "865-693-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A",
        "authorized_official_last_name": "DABBS",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "865-693-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20144",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.