Active NPI
Terry R Nye, MD
- Internal Medicine Physician
- Kingsport, TN
National Provider Identifier
1629034327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD37487
- Practice address
- 1916 Brookside Dr
Kingsport, TN 37660-4602 - Phone
- (423) 392-6000
- Fax
- (423) 392-6030
- NPI assigned
- Apr 22, 2006
- Last updated
- Mar 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD37487 | TN | Primary |
Addresses
Primary practice location
1916 Brookside Dr
Kingsport, TN 37660-4602
Mailing address
1916 Brookside Dr
Kingsport, TN 37660-4602
Phone (423) 392-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3886833 | Medicaid | TN | |
| 4104284 | Other | TN | BCBS |
| TN01U6 | Other | TN | JOHN DEERE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD37487 | TN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1629034327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 BROOKSIDE DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604602",
"telephone_number": "423-392-6000",
"fax_number": "423-392-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 BROOKSIDE DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604602",
"telephone_number": "423-392-6000",
"fax_number": "423-392-6030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYE",
"first_name": "TERRY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD37487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3886833",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4104284",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN01U6",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
- Northeast Tennessee Anesthesia, PLLC
- Northeast Tennessee Emergency Physicians PC
- Northland Hearing Centers, Inc.
- Thaddeus Lorenzo Noto, M.DIV., L.P.C.
- Diana Nunley, M.D.
- Brittney O'Hara, NP-C
- Mary Kathleen O'Keeffe, MA, LMFT
- Jenni Marie O'Malley, D.M.D
- Brian Andrew O'Neal, D.O. , MPH
- Glenda K O'Neal, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.