Tricities Healthcare Solutions
Organization Active NPI Family Medicine Physician · Church Hill, TN
NPI 1619766847 · NPPES record last updated Aug 13, 2025
Key facts
- NPI
- 1619766847
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- TRICITIES HEALTHCARE SOLUTIONS
- Practice address
- 560 E Main Blvd
Church Hill, TN 37642-3312 - Phone
- (423) 256-2196
- NPI assigned
- May 5, 2025
- Organization subpart
- No
Authorized official
- Name
- Pushkas Gopalan, MD
- Title
- Owner
- Phone
- (423) 381-4186
Practitioners 5
-
Manju Pushkas, MD
-
Hannah Singleton, FNP
-
Pushkas Gopalan, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2324821 | Tricities Healthcare Solutions | Certificate of waiver | Jun 1, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251125000076 | TN | Part B Supplier - Clinic/Group Practice | 9537651856 |
Receives reassigned benefits from 4 practitioners Practice locations: Church Hill, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
560 E Main Blvd
Church Hill, TN 37642-3312
Mailing address
1219 Barnsley PL
Kingsport, TN 37660-1197
Phone (423) 256-2196
Other names
- Church Hill Primary Care
- Vision Healthcare Solutions
Other providers in Church Hill, TN
- Barbara Sword
- Mansoor Tanwir
- Melissa M Taylor
- Randolph P Thomas
- Jackie Christine Thompson
- Tumlin RX, LLC
- Vanguard of Church Hill, LLC
- Heather Varney
- Megan Lea Ward
- Sophia Rose Webb
All providers in Church Hill, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.