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SULLIVAN AND PARTNERS
NPI 1003981093
Internal Medicine - Gastroenterology in Kingsport, TN

Active since November 22, 2006CLIA 44D2037334 · Certificate of Compliance
2204 PAVILION DR STE 108, KINGSPORT, TN 37660(423) 392-6100(423) 392-0803 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2022, Nov 5, 2021 (2 updates tracked since 2021).

About Sullivan And Partners NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLIVAN AND PARTNERS (NPI 1003981093) is a healthcare organization registered as a gastroenterology in Kingsport, Tennessee and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 26, 2027, maintains a secondary practice location in Kingsport, and lists Penny Leigh Lloyd, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003981093
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSULLIVAN AND PTRS
Location Address2204 PAVILION DR STE 108Kingsport, TN 37660-4651
Mailing Address2204 Pavilion Dr Ste 108Kingsport, TN 37660-4651 · (423) 392-6100 · Fax (423) 392-6159
Phone(423) 392-6100
Fax(423) 392-0803
Organization SubpartNo
Authorized OfficialPenny Leigh LloydAdministrator · (423) 392-6100
Enumeration DateNovember 22, 2006
Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1003981093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2204 PAVILION DR STE 108, Kingsport, TN 37660
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Other Names 1

Doing Business AsSullivan And Partners

Secondary Practice Location 1

Location 12204 Pavilion Dr Ste 105Kingsport, TN 37660-4651 · Phone (423) 392-6100 · Fax (423) 392-0803

Other Identifiers 2

Medicaid3703535TN
Other154366Bcbstn

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 44D2037334

Sullivan And Partners · Kingsport, TN
Active · expires Sep 26, 2027
CLIA Number44D2037334
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorDr. James W. Denham
Laboratory Phone(423) 392-6343
Laboratory LocationSullivan And Partners2204 Pavilion Dr Ste 105, Kingsport, TN 37660
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC MICHAEL BEAULIEU FNP
Nurse Practitioner (Family)
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Sullivan County (423) 392-6100
SARA ALEXIS WATSON FNP
Nurse Practitioner (Family)
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Sullivan County (423) 392-6100
ENDOSCOPY CENTER OF KINGSPORT
Clinic/Center (Endoscopy)
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Sullivan County (423) 392-6100
DR. MICHAEL JUDE SULLIVAN M.D.
Internal Medicine (Gastroenterology)
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Sullivan County (423) 392-6100
ADRIAN DENISE QUALLS PA-C
Physician Assistant
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Sullivan County (423) 392-6100
MRS. MEGAN LYNNE BOATMAN FNP-BC
Nurse Practitioner (Family)
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Sullivan County (423) 392-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullivan And Ptrs's NPI number?

The NPI number for Sullivan And Ptrs is 1003981093. It was assigned to this organization in the NPPES registry on November 22, 2006. The provider is doing business as Sullivan And Partners.

Where is Sullivan And Ptrs located?

Sullivan And Ptrs is located at 2204 Pavilion Dr Ste 108, Kingsport, TN 37660. The listed phone number is (423) 392-6100.

What is Sullivan And Ptrs's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Sullivan And Ptrs hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D2037334) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sullivan And Ptrs was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.