County of Sullivan

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF SULLIVAN

Doing business as

Kingsport Health Center

Practice address

1041 East Sullivan Street
Kingsport, TN 37660

Phone

(423) 224-1600

Fax

(423) 224-1640

NPI assigned

May 3, 2007

Last updated

Feb 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Mayes

Title

Regional Director

Phone

(423) 279-2777

Specialties & licenses 1

Addresses

Other names 1

• Kingsport Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• County of Sullivan

  dba Sullivan County Health Department

  • Public Health or Welfare Agency
  • Blountville, TN
  • NPI 1518179233

  O20250521002501

  Same enrollment

Tax ID family

Maury Co Healt H Dept202 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Department of Intellectual and Developmental Disabilities, State of TN

  • Public Health or Welfare Agency
  • Nashville, TN
  • NPI 1447618061
  NPD tax ID
• Maury County Health Dept.

  • Public Health or Welfare Agency
  • Columbia, TN
  • NPI 1548509375
  NPD tax ID
• State of Tennessee

  dba Macon County Health Department

  • Federally Qualified Health Center (FQHC)
  • Lafayette, TN
  • NPI 1447301296
  NPD tax ID
• State of Tennessee

  dba Washington County Health Department

  • Public Health or Welfare Agency
  • Johnson City, TN
  • NPI 1447397666
  NPD tax ID
• State of Tennessee

  dba Lewis County Health Department

  • Public Health or Welfare Agency
  • Hohenwald, TN
  • NPI 1467486613
  NPD tax ID
• State of Tennessee

  dba Department of Intellectual and Developmental Disabilities

  • Home Health Agency
  • Greeneville, TN
  • NPI 1467723155
  NPD tax ID
• State of Tennessee

  dba Didd East TN Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Afton, TN
  • NPI 1467760876
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Savannah, TN
  • NPI 1477603629
  NPD tax ID
• State of Tennessee

  dba Tennessee Department of Intellectual and Developmental Disabilities

  • Occupational Therapist
  • Greeneville, TN
  • NPI 1477966976
  NPD tax ID
• State of Tennessee

  dba Cumberland County Health Department

  • Federally Qualified Health Center (FQHC)
  • Crossville, TN
  • NPI 1487705414
  NPD tax ID
• State of Tennessee

  dba Columbia Clinic

  • Public Health or Welfare Agency
  • Columbia, TN
  • NPI 1487758611
  NPD tax ID
• State of Tennessee

  dba Marion County Health Department

  • Public Health or Welfare Agency
  • Jasper, TN
  • NPI 1487791315
  NPD tax ID

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1487876066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 EAST SULLIVAN STREET",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-224-1600",
            "fax_number": "423-224-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 EAST SULLIVAN STREET",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-224-1600",
            "fax_number": "423-224-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SULLIVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "423-279-2777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsport Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Allan Couch, M.D.
• Megan C Couch, NP
• Gavin Counts, PHARMD
• Marc D Counts, MD
• County of Sullivan (Kingsport Health Center Dental Clinic)
• Covenant Counseling Center Inc
• David Cowden, MD
• Andrea Cox, DDS
• Jennifer Leigh Cox, NP
• Jo Ann Cox, LCSW

• Public Health or Welfare Agency in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Public Health or Welfare Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.