NPIMap

Organization Active NPI

Medpsych Inc. PC

  • Specialist
  • Kingsport, TN
National Provider Identifier
1962828137
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD41317 Issued in TN
Legal business name
MEDPSYCH INC. PC
Practice address
1025 Executive Park Blvd
Kingsport, TN 37660-4620
Phone
(423) 830-8110
NPI assigned
Mar 12, 2014
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Rakeshkumar Bhagwandas Patel, M.D., MBANPI 1013998004
Title
President
Phone
(423) 737-8059

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD41317 TN Primary

Addresses

Primary practice location

1025 Executive Park Blvd
Kingsport, TN 37660-4620

Mailing address

805 Quail Ridge CT
Elizabethton, TN 37643-5064
Phone (423) 737-8059

Other practice location 1

1905 American Way Ste 1002
Kingsport, TN 37660-5882
Phone (423) 830-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20140529002275 TN Part B Supplier - Clinic/Group Practice 2264655877 Receives reassigned benefits from 24 practitioners
Practice locations: Johnson City, TN; Kingsport, TN
O20160502000729 VA Part B Supplier - Clinic/Group Practice 2264655877 Receives reassigned benefits from 2 practitioners
Practice locations: Clintwood, VA
O20240516003103 IA Part B Supplier - Clinic/Group Practice 2264655877 Receives reassigned benefits from 15 practitioners
Practice locations: Bettendorf, IA

National Provider Directory

National Provider Directory

Locations

1905 American Way
Ste 1002
Kingsport, TN 37660
Phone (423) 830-8110

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1962828137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 QUAIL RIDGE CT",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376435064",
            "telephone_number": "423-737-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 EXECUTIVE PARK BLVD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604620",
            "telephone_number": "423-830-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 American Way Ste 1002",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376605882",
            "country_code": "US",
            "telephone_number": "423-830-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDPSYCH INC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAKESHKUMAR",
        "authorized_official_middle_name": "BHAGWANDAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-737-8059",
        "authorized_official_credential": "M.D., MBA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD41317",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 10, 2026; 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.