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PAC OF TENNESSEE PC
NPI 1043856677
Internal Medicine in Bristol, TN

Active since November 19, 2019
1958 WEST STATE STREET, SUITE 2, BRISTOL, TN 37620(423) 573-1502(423) 217-0604 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2025, Nov 19, 2019 (2 updates tracked since 2019).

About Pac Of Tennessee Pc NPPES

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

PAC OF TENNESSEE PC (NPI 1043856677) is a healthcare organization registered as an internal medicine in Bristol, Tennessee and active in the NPI registry since November 2019. The organization lists Donald Quinn, Owner, as its authorized official.

NPPES Registry Identity

NPI1043856677
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePAC OF TENNESSEE PC
Location Address1958 WEST STATE STREET, SUITE 2Bristol, TN 37620-2257
Mailing Address618 Broad StBristol, TN 37620-2234 · (423) 573-1502 · Fax (423) 217-0604
Phone(423) 573-1502
Fax(423) 217-0604
Organization SubpartNo
Authorized OfficialDonald QuinnOwner · (423) 573-1502
Enumeration DateNovember 19, 2019
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1043856677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1958 WEST STATE STREET, Bristol, TN 37620
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pac Of Tennessee Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pac Of Tennessee PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Donald Quinn, MD
Internal Medicine
NPI 1447219688
1958 W STATE ST STE 2
Bristol, TN 37620
(423) 573-1502
✔ PECOS✔ Accepts MedicareSame address
Patricia Oquinn, FNP
Nurse Practitioner
NPI 1952343956
119 BOONE RIDGE DR SUITE 201
Johnson City, TN 37615
(423) 282-1480
✔ PECOS19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pac Of Tennessee PC's NPI number?

The NPI number for Pac Of Tennessee PC is 1043856677. It was assigned to this organization in the NPPES registry on November 19, 2019.

Where is Pac Of Tennessee PC located?

Pac Of Tennessee PC is located at 1958 West State Street Suite 2, Bristol, TN 37620. The listed phone number is (423) 573-1502.

What is Pac Of Tennessee PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pac Of Tennessee PC enrolled in Medicare?

Yes. Pac Of Tennessee PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pac Of Tennessee PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pac Of Tennessee PC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pac Of Tennessee PC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.