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BRISTOL SURGERY CENTER, LLC
NPI 1013964063
Clinic/Center - Ambulatory Surgical in Bristol, TN

Active since May 27, 2006CLIA 44D0992563 · Waiver
350 BLOUNTVILLE HWY, SUITE 108, BRISTOL, TN 37620(423) 844-6120(423) 844-6119 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bristol Surgery Center, Llc NPPES

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

BRISTOL SURGERY CENTER, LLC (NPI 1013964063) is a healthcare organization registered as an ambulatory surgical in Bristol, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Karen J Williams, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013964063
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBRISTOL SURGERY CENTER, LLC
Location Address350 BLOUNTVILLE HWY, SUITE 108Bristol, TN 37620-0213
Mailing Address350 Blountville Hwy, Suite 108Bristol, TN 37620-0213 · (423) 844-6120 · Fax (423) 844-6119
Phone(423) 844-6120
Fax(423) 844-6119
Organization SubpartNo
Authorized OfficialKaren J WilliamsAdministrator · (423) 844-6120
Enumeration DateMay 27, 2006
Last NPPES UpdateJanuary 16, 2009
✔ NPI 1013964063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in TN · 0000000052
350 BLOUNTVILLE HWY, Bristol, TN 37620
Open in Google Maps ↗

Other Identifiers 8

Medicaid3287075TN
Other007192VA · Trigon Bcbs
Medicaid007679301VA
Other1000984TN · Bsbstn
OtherTN0103John Deere
Medicare ID-Type Unspecified3287075TN · Medicare Provider Number
Medicare ID-Type Unspecified490000336Railroad Medicare
Other0004618082Aetna Provider Number

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 Waiver 44D0992563

Bristol Surgery Center · Bristol, TN
Active · expires Oct 18, 2027
CLIA Number44D0992563
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorDr. Thomas L. Whitman
Laboratory Phone(423) 844-6120
Laboratory LocationBristol Surgery Center350 Blountville Hwy, Suite 108, Bristol, TN 37620
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DONALD L FERRIS DPM PC
Podiatrist
350 BLOUNTVILLE HWY, STE 103
BRISTOL, TN 37620
Sullivan County (423) 764-8741
SPECIALTY SURGEONS, P.C.
Specialist
350 BLOUNTVILLE HWY, SUITE 205
BRISTOL, TN 37620
Sullivan County (423) 968-2732
DR. LARRY SEAN MULLINS DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
350 BLOUNTVILLE HWY, SUITE 206
BRISTOL, TN 37620
Sullivan County (423) 764-4174
DONALD S. REDFORD, D.D.S, P.C
Dentist (Oral and Maxillofacial Surgery)
350 BLOUNTVILLE HWY, SUITE 204
BRISTOL, TN 37620
Sullivan County (423) 968-4114
AMANDA SUZANNE GAITHER CRNA
Nurse Anesthetist, Certified Registered
350 BLOUNTVILLE HWY, SUITE 207
BRISTOL, TN 37620
Sullivan County (423) 968-4540
DR. TIMOTHY L THOMAS D.D.S.
Dentist (General Practice)
350 BLOUNTVILLE HWY, STE 104
BRISTOL, TN 37620
Sullivan County (423) 968-4101
BRISTOL PEDIATRIC DENTISTRY PLLC
Dentist (Pediatric Dentistry)
350 BLOUNTVILLE HWY, SUITE 202
BRISTOL, TN 37620
Sullivan County (423) 968-9661
DR. STEPHEN K EVANS MD
Anesthesiology
350 BLOUNTVILLE HWY, SUITE 207
BRISTOL, TN 37620
Sullivan County (423) 968-4540

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 Bristol Surgery Center, LLC's NPI number?

The NPI number for Bristol Surgery Center, LLC is 1013964063. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Bristol Surgery Center, LLC located?

Bristol Surgery Center, LLC is located at 350 Blountville Hwy Suite 108, Bristol, TN 37620. The listed phone number is (423) 844-6120.

What is Bristol Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Bristol Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0992563) is associated with this NPI, valid through October 18, 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 Bristol Surgery Center, LLC was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.