Individual provider Active NPI

Whitney Rich, MD

  • Obstetrics & Gynecology Physician
  • Kingsport, TN
National Provider Identifier
1649697905
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
57236 Issued in TN
Practice address
2002 Brookside Dr Ste 300
Kingsport, TN 37660-4634
Phone
(423) 392-6370
Fax
(423) 392-6081
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 57236 TN Primary

Addresses

Primary practice location

2002 Brookside Dr Ste 300
Kingsport, TN 37660-4634

Mailing address

215 E Springbrook Dr
Johnson City, TN 37601-1761
Phone (423) 530-7900

Other practice location 1

301 Med Tech Pkwy Ste 200
Johnson City, TN 37604-2641
Phone (423) 794-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180912001397 TN Practitioner - Obstetrics/Gynecology 4486904414 Reassigns benefits to 1 organization
I20200709001897 AR Practitioner - Obstetrics/Gynecology 4486904414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
East Tennessee State University Quillen College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

1420 McLain St
Newport, AR 72112-3636
Phone (870) 523-3900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Jun 25, 2018 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Aug 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jun 25, 2018 Accepting new patients
St Bernards Hospital Inc. CurrentSince Sep 23, 2020 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Physician Clinics Inc Obstetrics & Gynecology CurrentSince Aug 1, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

800 S Church St
Ste 302
Jonesboro, AR 72401
Phone (501) 935-3990

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

2002 Brookside Dr
Ste 300
Kingsport, TN 37660
Phone (423) 392-6370

Interoperability endpoints

  • Direct secure messaging: wnrich@sbpc.medalliesdirect.net
  • Direct secure messaging: wrich@stbobgyn.gwaydirect.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1649697905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E SPRINGBROOK DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011761",
            "telephone_number": "423-530-7900",
            "fax_number": "423-530-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 BROOKSIDE DR STE 300",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604634",
            "telephone_number": "423-392-6370",
            "fax_number": "423-392-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Med Tech Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042641",
            "country_code": "US",
            "telephone_number": "423-794-1300",
            "fax_number": "423-794-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "WHITNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "57236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.