NPIMap

Organization Active NPI

Appalachian Orthopaedic Associates P C

  • Orthopaedic Surgery Physician
  • Kingsport, TN
National Provider Identifier
1669940078
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Doing business as
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
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
APPALACHIAN ORTHOPAEDIC ASSOCIATES P CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Daryn Keeney
Title
Coo
Phone
(423) 239-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

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 1

  • APPALACHIAN ORTHOPAEDIC ASSOCIATES P C Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Appalachian Orthopaedic

Locations

105 Meadow View Rd
Ste 4
Bristol, TN 37620
Phone (423) 844-6935

3 Professional Park Dr
Ste 10
Johnson City, TN 37604
Phone (423) 926-4331

120 W Ravine Rd
Kingsport, TN 37660
Phone (423) 245-3161

1944 Brookside Dr
Kingsport, TN 37660
Phone (423) 245-5108

4221 Fort Henry Dr
Ste 1
Kingsport, TN 37663
Phone (423) 239-1550

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1669940078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 FORT HENRY DR STE 300",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632256",
            "telephone_number": "423-239-1538",
            "fax_number": "423-239-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 FORT HENRY DR",
            "address_2": "SUITE 1",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632227",
            "telephone_number": "423-239-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN ORTHOPAEDIC ASSOCIATES P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN ORTHOPAEDIC ASSOCIATES P C",
        "enumeration_date": "2018-11-05",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "KEENEY",
        "authorized_official_first_name": "DARYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "423-239-1550"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPALACHIAN ORTHOPAEDIC ASSOCIATES P C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 7, 2026; 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.