Individual provider Active NPI

Daryl Wayne Pierce, MD

  • Hematology & Oncology Physician
  • Kingsport, TN
National Provider Identifier
1316919905
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35145 Issued in TN
Practice address
2205 Pavilion Dr
Suite 101
Kingsport, TN 37660-4641
Phone
(423) 857-6466
Fax
(423) 857-6456
NPI assigned
Feb 7, 2006
Last updated
Feb 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101231036 VA
Hematology & Oncology Physician 207RH0003X 35145 TN Primary

Addresses

Primary practice location

2205 Pavilion Dr
Suite 101
Kingsport, TN 37660-4641

Mailing address

2205 Pavilion Dr
Suite 101
Kingsport, TN 37660-4641
Phone (423) 857-6466

Other identifiers 3

IdentifierTypeStateIssuer
Q020753MedicaidTN
P01632630OtherVARAILROAD MEDICARE
1316919905MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MT, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050105000747 TN Practitioner - HematologyPractitioner - Hospice/Palliative Care 9234187329 Reassigns benefits to 1 organization
I20210303001206 MT Practitioner - Hematology/Oncology 9234187329 Reassigns benefits to 1 organization
I20221018001926 IA Practitioner - Hematology/Oncology 9234187329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Hospice/Palliative Care
Education
Louisiana State University School of Medicine in Shreveport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Physicians Practice LLCGroup PAC ID 2163490319, 33 clinicians

Practice addresses (Care Compare)

705 Cook Dr
Suite 203
Athens, TN 37303-3494
Phone (423) 622-2337

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Siouxland Regional Cancer Center Hematology & Oncology CurrentSince Oct 10, 2022 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Athens Physicians Practice LLC CurrentSince Jun 1, 2023 Accepting new patients
Northern Montana Hospital CurrentSince Jan 4, 2021 Accepting new patients
Northern Montana Hospital CurrentSince Jan 4, 2021 Accepting new patients
Athens Physicians Practice, LLC CurrentSince Jun 1, 2023 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Jun 24, 2023 Accepting new patients
Athens Physicians Practice LLC Past Accepting new patients
Cancer Outreach Associates, P.C. Past Accepting new patients
Wellmont Physician Services Inc Hematology & Oncology Past Accepting new patients

Locations

230 Nebraska St
Sioux City, IA 51101
Phone (712) 252-9381

30 13th St
Havre, MT 59501
Phone (406) 262-1302

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

705 Cook Dr
Ste 203
Athens, TN 37303
Phone (423) 744-1300

719 Cook Dr
Ste 104
Athens, TN 37303
Phone (423) 745-9770

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

872 Highway 411 N
Unit G
Etowah, TN 37331
Phone (423) 744-7585

Interoperability endpoints

  • Direct secure messaging: daryl.pierce.1@19363.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1316919905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 PAVILION DR",
            "address_2": "SUITE 101",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604641",
            "telephone_number": "423-857-6466",
            "fax_number": "423-857-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 PAVILION DR",
            "address_2": "SUITE 101",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604641",
            "telephone_number": "423-857-6466",
            "fax_number": "423-857-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "DARYL",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101231036",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "35145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020753",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01632630",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316919905",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.