Appalachian Highlands Medical LLC
Organization Active NPI Physician Assistant · Church Hill, TN
NPI 1760104392 · NPPES record last updated Oct 17, 2025
Key facts
- NPI
- 1760104392
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physician Assistant 363A00000X
- Legal business name
- APPALACHIAN HIGHLANDS MEDICAL LLC
- Practice address
- 196 Wills Private Dr
Church Hill, TN 37642-2800 - Phone
- (423) 782-9266
- Fax
- (423) 616-9753
- NPI assigned
- Sep 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Bryan D Carter
- Title
- Owner
- Phone
- (423) 782-9266
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250326001452 | VA | Part B Supplier - Clinic/Group Practice | 0446773816 |
Receives reassigned benefits from 1 practitioner Practice locations: Richmond, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | Yes | ||
| Medical Physician Assistant |
363AM0700X |
Addresses
Primary practice location
196 Wills Private Dr
Church Hill, TN 37642-2800
Mailing address
196 Wills Private Dr
Church Hill, TN 37642-2800
Phone (423) 782-9266
Other practice location 1
701 E Franklin St
Richmond, VA 23219-2512
Phone (276) 207-9004
Other names
- Appalachian Highlands Recovery LLC
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | bryan@appalachianhighlandsrecovery.com | Direct |
Other providers in Church Hill, TN
- Barbara Elaine Argentiere
- Carolyn B Christian
- Church Hill Drug Store
- Church Hill Drug Store Inc.
- Church Hill Emergency Medical Services, Inc
All providers in Church Hill, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2025. 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.