Organization Active NPI

Appalachian Health Services LLC

  • Health Service Clinic/Center
  • Bristol, TN
National Provider Identifier
1831921451
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
APPALACHIAN HEALTH SERVICES LLC
Practice address
1421 Shelby St
Bristol, TN 37620-2037
Phone
(205) 441-4517
NPI assigned
Aug 14, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Andrew Dees
Title
Managing Partner
Phone
(205) 441-4517

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Health Service Clinic/Center 261QH0100X Primary
Nurse Practitioner 363L00000X
Mental Health Counselor 101YM0800X
Orthopaedic Surgery Physician 207X00000X
Physical Medicine & Rehabilitation Physician 208100000X
Physical Therapist 225100000X
Orthopedic Physical Therapist 2251X0800X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X
In Home Supportive Care Agency 253Z00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1421 Shelby St
Bristol, TN 37620-2037

Mailing address

PO Box 161
Bristol, TN 37621-0161

Other practice location 1

401 Gordon Ave
Bristol, VA 24201-4106
Phone (205) 441-4517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250520003812 VA Part B Supplier - Clinic/Group Practice 0244758449 Receives reassigned benefits from 8 practitioners
Practice locations: Bristol, VA
O20250530000243 TN Part B Supplier - Clinic/Group Practice 0244758449 Receives reassigned benefits from 7 practitioners
Practice locations: Bristol, TN

National Provider Directory

National Provider Directory

Locations

1421 Shelby St
Bristol, TN 37620
Phone (205) 441-4517

636 Shelby St
Ste 202
Bristol, TN 37620
Phone (205) 441-4517

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1831921451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376210161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SHELBY ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376202037",
            "telephone_number": "205-441-4517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Gordon Ave",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242014106",
            "country_code": "US",
            "telephone_number": "205-441-4517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPALACHIAN HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "DEES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "205-441-4517"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.