Thomas E Sturdavant, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

16798 Issued in MS

Practice address

113 Cassell Dr
Kingsport, TN 37660

Phone

(423) 246-7240

NPI assigned

Sep 27, 2006

Last updated

Jun 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Thomas Sturdavant MD PA

  • Physical Medicine & Rehabilitation Physician
  • Kingsport, TN
  • NPI 1952896508
  Authorized official Same address or phone
• Rehabilitation Solutions, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Laurel, MS
  • NPI 1063693802
  NPD (past) Authorized official
• Ms Methodist Hospital & Rehabilitation Center

  dba Methodist Rehab Ceter

  • Clinical Neuropsychologist
  • Jackson, MS
  • NPI 1285772293
  NPD (past)
• Taylor Made Counseling Services LLC

  • Clinical Social Worker
  • Biloxi, MS
  • NPI 1023695004
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1437240603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620416",
            "telephone_number": "423-246-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CASSELL DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-246-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDAVANT",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "16798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "16798",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R. Douglas Strickland, M.D.
• Kimberly Pagliai Stroud, FNP
• Stuart a Coleman (Christmont Counseling)
• Emily Kristina Stubblefield, DPT
• Kristine Marie Stultz, PHARMD
• Faith Sturgill
• Mechele Lea Stykes, HIS
• Meeradevi Sudarsanan, NP
• Viktor P Sulkowski, M.D.
• Sullivan and PTRS (Sullivan and Partners)

• Physical Medicine & Rehabilitation Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.