Active NPI
Shari K Rajoo, MD
- Family Medicine Physician
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42149
- Practice address
- 2204 Pavilion Dr
Suite 310
Kingsport, TN 37660-4657 - Phone
- (423) 224-3900
- Fax
- (423) 224-3901
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 42149 | TN | Primary |
| Family Medicine Physician | 207Q00000X | 233784 | NY | |
| Family Medicine Physician | 207Q00000X | 0101241375 | VA |
Addresses
Primary practice location
2204 Pavilion Dr
Suite 310
Kingsport, TN 37660-4657
Mailing address
2204 Pavilion Dr
Suite 310
Kingsport, TN 37660-4657
Phone (423) 224-3900
Other practice location 1
24530 Falcon Place Blvd Ste 100
Abingdon, VA 24211-7665
Phone (276) 619-3876
Other practice location 2
4 Sheridan Sq Ste 200
Kingsport, TN 37660-7435
Phone (423) 246-7931
Other practice location 3
111 W Stone Dr Ste 110
Kingsport, TN 37660-6027
Phone (423) 224-3701
Other practice location 4
16000 Johnston Memorial Dr Ste 213
Abingdon, VA 24211-0001
Phone (276) 258-2600
Other practice location 5
1905 American Way
Kingsport, TN 37660-5882
Phone (423) 578-8451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1505112 | Medicaid | TN | |
| 1730149790 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Suite 210E
Bristol, TN 37620-7468
Phone (423) 844-5500
1905 American Way
Kingsport, TN 37660-5882
Phone (423) 230-8160
24530 Falcon Place Blvd
Suite 100
Abingdon, VA 24211-7665
Phone (276) 619-0075
4 Sheridan SQ
Suite 200
Kingsport, TN 37660-7435
Phone (423) 246-7931
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42149 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Medical Education Assistance Corporation | Family Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Family Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Family Medicine | Current | Accepting new patients |
| Medical Education Assistance Corporation | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867
1905 American Way
Kingsport, TN 37660
Phone (423) 230-8160
4 Sheridan Sq
Ste 200
Kingsport, TN 37660
Phone (423) 246-7931
2204 Pavilion Dr
Ste 310
Kingsport, TN 37660
Phone (423) 224-3900
111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701
2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
24530 Falcon Place Blvd
Ste 100
Abingdon, VA 24211
Phone (276) 619-0075
16000 Johnston Memorial Dr
Ste 213
Abingdon, VA 24211
Phone (276) 258-2600
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
Family Medicine
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
Family Medicine
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Cardiovascular Disease Physician
- Johnson City, TN
- NPI 1740227131
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1699078808
-
- Internal Medicine Physician
- Kingsport, TN
- NPI 1245509280
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1730149790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 PAVILION DR",
"address_2": "SUITE 310",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604657",
"telephone_number": "423-224-3900",
"fax_number": "423-224-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 PAVILION DR",
"address_2": "SUITE 310",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604657",
"telephone_number": "423-224-3900",
"fax_number": "423-224-3901"
}
],
"practiceLocations": [
{
"address_1": "24530 Falcon Place Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117665",
"country_code": "US",
"telephone_number": "276-619-3876",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4 Sheridan Sq Ste 200",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376607435",
"country_code": "US",
"telephone_number": "423-246-7931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 W Stone Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376606027",
"country_code": "US",
"telephone_number": "423-224-3701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16000 Johnston Memorial Dr Ste 213",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242110001",
"country_code": "US",
"telephone_number": "276-258-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 American Way",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376605882",
"country_code": "US",
"telephone_number": "423-578-8451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAJOO",
"first_name": "SHARI",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "42149",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "233784",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101241375",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1505112",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730149790",
"state": "VA"
}
],
"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 Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.