Active NPI
Highlands Neurosurgical Associates, PC
- Neurological Surgery Physician
- Bristol, TN
National Provider Identifier
1104830405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- HIGHLANDS NEUROSURGICAL ASSOCIATES, PC
- Practice address
- 1 Medical Park Blvd Ste 400E
Bristol, TN 37620-7431 - Phone
- (423) 844-5400
- Fax
- (423) 844-5434
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Carolyn Kistner Fletcher-Helton
- Title
- Practice Administrator
- Phone
- (423) 844-5412
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Bristol, TN
- NPI 1992285308
-
- Neurological Surgery Physician
- Bristol, TN
- NPI 1093930216
-
- Neurological Surgery Physician
- Bristol, TN
- NPI 1801112271
-
- Neurological Surgery Physician
- Bristol, TN
- NPI 1619983962
-
- Surgical Physician Assistant
- Bristol, TN
- NPI 1306175997
-
- Physician Assistant
- Bristol, TN
- NPI 1215943212
-
- Physician Assistant
- Bristol, TN
- NPI 1417965526
-
- Family Nurse Practitioner
- Greeneville, TN
- NPI 1861555815
-
- Family Medicine Physician
- Morristown, TN
- NPI 1710299854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110829000191 | TN | Part B Supplier - Clinic/Group Practice | 7012813835 |
Receives reassigned benefits from 7 practitioners Practice locations: Bristol, TN |
National Provider Directory
National Provider DirectoryLocations
1021 Coolidge St
Ste 6
Greeneville, TN 37743
Phone (423) 636-2700
Specialties & licenses 5
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Physician Assistant | 363A00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X |
Addresses
NPPES NPI RegistryPrimary practice location
1 Medical Park Blvd Ste 400E
Bristol, TN 37620-7431
Mailing address
1 Medical Park Blvd Ste 400E
Bristol, TN 37620-7431
Phone (423) 844-5400
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3389587 | Medicaid | TN | |
| 3810004833 | Medicaid | WV |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2026.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1104830405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD STE 400E",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207431",
"telephone_number": "423-844-5400",
"fax_number": "423-844-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD STE 400E",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207431",
"telephone_number": "423-844-5400",
"fax_number": "423-844-5434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS NEUROSURGICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "FLETCHER-HELTON",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "KISTNER",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "423-844-5412"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3389587",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004833",
"state": "WV"
}
],
"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 Feb 9, 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.