Tri-State Cardiology

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TRI-STATE CARDIOLOGY

Practice address

2408 Susannah St
Ste.1
Johnson City, TN 37601-1728

Phone

(423) 282-5054

Fax

(423) 262-0220

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Kelly A Sexton

Title

Business Office Manager

Phone

(423) 282-5054

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 12

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

• Harold Wayne Alison, MD

  • Interventional Cardiology Physician
  • Johnson City, TN
  • NPI 1710096938

  Specialist

  NPD (past)
• Joseph C Bailey, MD

  • Cardiovascular Disease Physician
  • Johnson City, TN
  • NPI 1083706113
  NPD (past)
• Marc D Counts, MD

  • Cardiovascular Disease Physician
  • Kingsport, TN
  • NPI 1629002043
  NPD (past)
• Terry L Forrest, M.D.

  • Specialist
  • Kingsport, TN
  • NPI 1285660944
  NPD (past)
• Shelley Hilton, FNP

  • Family Nurse Practitioner
  • Kingsport, TN
  • NPI 1245352350
  NPD (past)
• Danielle O. Humphreys, FNP

  • Nurse Practitioner
  • Bristol, TN
  • NPI 1518937069
  NPD (past)
• Louis Collier Jordan, MD

  • Cardiovascular Disease Physician
  • Johnson City, TN
  • NPI 1902915135
  NPD (past)
• Eva Karol Sasala, FNP

  • Family Nurse Practitioner
  • Greeneville, TN
  • NPI 1053346429
  NPD (past)
• Claire Michelle Flanagan, PAC

  • Physician Assistant
  • Hendersonville, NC
  • NPI 1912003450
  NPD (past)
• Anil K Goli, MD

  • Cardiovascular Disease Physician
  • Cypress, TX
  • NPI 1629013008

  Specialist

  NPD (past)
• Sujatha A Goli, M.D.

  • Pulmonary Disease Physician
  • Cypress, TX
  • NPI 1790721645
  NPD (past)
• Kimberly Annette Nielsen

  • Nurse Practitioner
  • Eden Prairie, MN
  • NPI 1811918675
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962429647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 SUSANNAH ST",
            "address_2": "STE.1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011728",
            "telephone_number": "423-282-5054",
            "fax_number": "423-262-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 SUSANNAH ST",
            "address_2": "STE.1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011728",
            "telephone_number": "423-282-5054",
            "fax_number": "423-262-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "423-282-5054"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4058472",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-Cities Therapy & Counseling
• Tri-Cities Transportation (Brady A Lewis d/b/a Tri-Cities Transportation)
• Tri-City Pediactric Cardiology P C
• Tri-County Medical & Ostomy Supplies, Inc.
• Tri-Starr Transportation, Inc.
• Tricities Skin and Cancer
• Trinity Cancer Care, P.C.
• Mara Trinkle, PA
• Tritenn LLC (Gray Pharmacy)
• Phyllis Jean Trivett, RN

• Specialist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.