Arthritis Associates of Kingsport, PLLC
Organization Active NPI Rheumatology Physician · Kingsport, TN
NPI 1750434619 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1750434619
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- MD0000024219 (TN)
- Legal business name
- ARTHRITIS ASSOCIATES OF KINGSPORT, PLLC
- Practice address
- 3 Sheridan SQ
Kingsport, TN 37660-7390 - Phone
- (423) 392-6840
- Fax
- (423) 392-6845
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Teresa Jaynes
- Title
- Practice Administrator
- Phone
- (423) 392-6844
Practitioners 11
-
Annette Marie Abril, M.D.
-
Courtney Carroll, FNP-C
-
Emma Greear, DO
-
Rachel Ellen Loven, PA-C
-
Ashlee M. Newland, P.A.
-
Sierra Ray Thomas, PA-C
-
Philip Aaron Weatherford, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031107000541 | TN | Part B Supplier - Clinic/Group Practice | 4284547001 |
Receives reassigned benefits from 11 practitioners Practice locations: Kingsport, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | MD0000024219 | TN | Yes |
Addresses
Primary practice location
3 Sheridan SQ
Kingsport, TN 37660-7390
Mailing address
3 Sheridan SQ
Kingsport, TN 37660-7390
Phone (423) 392-6840
Other providers in Kingsport, TN
- Julie Danielle Arnold
- David J Arrowood
- Kelly Elizabeth Arrowood
- Melissa A. Arrowood
- Aaron Joseph Arroyave
- Arthur Garrett, M.D., PH.D, Mpllc
- Abram Arwood
- Brittany Arwood
- Ashton Asbury
- Asbury, Inc.
All providers in Kingsport, TN · Rheumatology 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 Nov 10, 2020. 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.