Organization Active NPI

Regional Allergy & Asthma Center, PC

  • Specialist
  • Kingsport, TN
National Provider Identifier
1174581854
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
REGIONAL ALLERGY & ASTHMA CENTER, PC
Practice address
#8 Sheridan Square
St 201
Kingsport, TN 37660
Phone
(423) 246-6445
Fax
(423) 246-8240
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Mr. Doyle Emanuel Varvel Jr.
Title
Biiling Manager
Phone
(423) 246-6445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

#8 Sheridan Square
St 201
Kingsport, TN 37660

Mailing address

#8 Sheridan Square
St 201
Kingsport, TN 37660
Phone (423) 246-6445

Other identifiers 1

IdentifierTypeStateIssuer
3713985MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051019000065 TN Part B Supplier - Clinic/Group Practice 8628094778 Receives reassigned benefits from 3 practitioners
Practice locations: Johnson City, TN; Kingsport, TN
O20210324002192 VA Part B Supplier - Clinic/Group Practice 8628094778 Receives reassigned benefits from 1 practitioner
Practice locations: Abingdon, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2034152Regional Allergy, Asthma, and Immunology Center PC8 Sheridan Square, Ste 201, Kingsport, TN 37660Certificate of waiverDec 18, 2027

National Provider Directory

National Provider Directory

Locations

2312 Knob Creek Rd
Ste 208
Johnson City, TN 37604
Phone (423) 246-6445

2312 Knob Creek Rd
Ste 206
Johnson City, TN 37604

2995 Fort Henry Dr
Ste 100
Kingsport, TN 37664
Phone (423) 246-6445

121 E Ravine Rd
Ste 200
Kingsport, TN 37660
Phone (423) 246-6445

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1174581854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#8 SHERIDAN SQUARE",
            "address_2": "ST 201",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-246-6445",
            "fax_number": "423-246-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#8 SHERIDAN SQUARE",
            "address_2": "ST 201",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-246-6445",
            "fax_number": "423-246-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL ALLERGY & ASTHMA CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "VARVEL",
        "authorized_official_first_name": "DOYLE",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "BIILING MANAGER",
        "authorized_official_telephone_number": "423-246-6445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3713985",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.