Organization Active NPI

David H Franzus M D

  • Primary Care Clinic/Center
  • Kingsport, TN
National Provider Identifier
1639246101
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
15775 Issued in TN
Legal business name
DAVID H FRANZUS M D
Practice address
121 E Ravine Rd
Suite 700
Kingsport, TN 37660-3816
Phone
(423) 247-3717
NPI assigned
Nov 29, 2006
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Sherry Pearcy
Title
Office Manager
Phone
(423) 247-4910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 15775 TN Primary

Addresses

Primary practice location

121 E Ravine Rd
Suite 700
Kingsport, TN 37660-3816

Mailing address

121 E Ravine Rd
Suite 700
Kingsport, TN 37660-3816
Phone (423) 247-3717

Other identifiers 1

IdentifierTypeStateIssuer
3010967MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070208000544 TN Part B Supplier - Clinic/Group Practice 1759383433 Receives reassigned benefits from 1 practitioner
Practice locations: Kingsport, TN

National Provider Directory

National Provider Directory

Locations

121 E Ravine Rd
Kingsport, TN 37660
Phone (423) 246-6166

121 E Ravine Rd
Ste 700
Kingsport, TN 37660
Phone (423) 247-3717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1639246101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E RAVINE RD",
            "address_2": "SUITE 700",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603816",
            "telephone_number": "423-247-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E RAVINE RD",
            "address_2": "SUITE 700",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603816",
            "telephone_number": "423-247-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H FRANZUS M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "PEARCY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-247-4910"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "15775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3010967",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.