Organization Active NPI

Trinity Medical Services, PLLC

  • Primary Care Clinic/Center
  • Kingsport, TN
National Provider Identifier
1891109609
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
APN7390 Issued in TN
Legal business name
TRINITY MEDICAL SERVICES, PLLC
Practice address
106 Ferrell Ave
Suite 5
Kingsport, TN 37663-2655
Phone
(423) 239-0099
Fax
(423) 239-0273
NPI assigned
Jun 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Mr. Dewayne Scott Steffey, FNPNPI 1548252638
Title
FNP/Owner
Phone
(423) 239-0099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X APN7390 TN Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

106 Ferrell Ave
Suite 5
Kingsport, TN 37663-2655

Mailing address

106 Ferrell Ave
Suite 5
Kingsport, TN 37663-2655
Phone (423) 239-0099

Other identifiers 2

IdentifierTypeStateIssuer
6090229OtherTNBCBS
Q024497MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170111000776 TN Part B Supplier - Clinic/Group Practice 7214218924 Receives reassigned benefits from 3 practitioners
Practice locations: Kingsport, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2125449Trinity Medical Services106 Ferrell Ave Suite 5, Kingsport, TN 37663Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory

Locations

151 Wendover Dr
Kingsport, TN 37663
Phone (423) 239-0099

106 Ferrell Ave
Ste 5
Kingsport, TN 37663
Phone (423) 239-0099

106 Ferrell Ave
Kingsport, TN 37663

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1891109609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FERRELL AVE",
            "address_2": "SUITE 5",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632655",
            "telephone_number": "423-239-0099",
            "fax_number": "423-239-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FERRELL AVE",
            "address_2": "SUITE 5",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632655",
            "telephone_number": "423-239-0099",
            "fax_number": "423-239-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "STEFFEY",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "423-239-0099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "APN7390",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6090229",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024497",
            "state": "TN"
        }
    ],
    "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 Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.