Appalachian Orthopaedic Associates P C
Organization Active NPI Orthopaedic Surgery Physician · Kingsport, TN
NPI 1669940078 · NPPES record last updated Jun 17, 2024
Key facts
- NPI
- 1669940078
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
- Practice address
- 4221 Fort Henry Dr
Suite 1
Kingsport, TN 37663-2227 - Phone
- (423) 239-1550
- NPI assigned
- Nov 5, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Authorized official
- Name
- Daryn Keeney
- Title
- Doo
- Phone
- (423) 239-1550
Other NPIs on the same Medicare enrollment 9
Practitioners 60
-
Victoria Bailey, PA-C
-
Savanna Marie Barber, PA-C
-
Brittany LD Bays, MS, ATC, PA-C
-
Jason Andrew Brashear, M.D.
-
Kenneth Byrd, PA-C
-
Jonathan Clark, M.D.
-
Tavis D. Clonch, P.A.
-
John W Crowe, P.T.
-
Brian Keith Elliott, P.A.
-
Daniel Foster, DPT
-
James A Goss, M.D.
-
Brian L Green, DPT
-
James B Haire, PA-C
-
John L Holbrook, M.D.
-
Gabriel J Hommel, M.D.
-
Randall S Johnson, P.T.
-
William Stacy Melvin, P.A.
-
Reagan R Parr, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031126000433 | TN | Part B Supplier - Clinic/Group Practice | 1052225471 |
Receives reassigned benefits from 49 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bristol, TN; Elizabethton, TN; Johnson City, TN; Kingsport, TN |
National Provider Directory
- Part of
- Appalachian Or Thorpaedic
Locations
1500 W Elk Ave
Ste 102
Elizabethton, TN 37643
Phone (423) 282-5054
1944 Brookside Dr
Kingsport, TN 37660
Phone (423) 245-5108
4221 Fort Henry Dr
Ste 1
Kingsport, TN 37663
Phone (423) 239-1550
120 W Ravine Rd
Kingsport, TN 37660
Phone (423) 245-3161
24530 Falcon Place Blvd
Fl 2
Abingdon, VA 24211
Phone (276) 623-0203
1960 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-8764
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
4221 Fort Henry Dr
Suite 1
Kingsport, TN 37663-2227
Mailing address
4105 Fort Henry Dr Ste 300
Kingsport, TN 37663-2256
Phone (423) 239-1538
Other names
- APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Other providers in Kingsport, TN
- Appalachian Chiropractic, P.C.
- Appalachian Dental Group PLLC
- Appalachian Emergency Physicians
- Appalachian Medical Massage Associates, LLC
- Appalachian Medical Rides
- Appalachian Orthopaedic Associates PC
- Appalachian Orthopaedic Associates, PC
- Appalachian Pediatric Therapy, LLC
- Appalachian Prosthetic & Orthotic Services, Inc
- Appalachian Rehabilitation Professionals, PC
All providers in Kingsport, TN · Orthopaedic Surgery 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 Jun 17, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.