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DR. SARAH NICHOLS DO
NPI 1053818807
Pediatrics in Kingsport, TN

Active since April 09, 2018PECOS Enrolled
2204 PAVILION DR STE 210, KINGSPORT, TN 37660(423) 224-3933(423) 224-3934 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2023, Jul 5, 2021, Apr 9, 2018 (3 updates tracked since 2018).

About Dr. Sarah Nichols Do NPPES

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

DR. SARAH NICHOLS DO (NPI 1053818807) is an individual pediatrics provider in Kingsport, Tennessee, licensed in Tennessee (4316) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053818807
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SARAH NICHOLSCredential: DO
Location Address2204 PAVILION DR STE 210Kingsport, TN 37660-4652
Mailing Address2204 Pavilion DrKingsport, TN 37660-4657 · (232) 243-9334 · Fax (423) 224-3934
Phone(423) 224-3933
Fax(423) 224-3934
Sole ProprietorNo
Enumeration DateApril 9, 2018
Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1053818807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 4316
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2204 PAVILION DR STE 210, Kingsport, TN 37660
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sarah Nichols Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Medical Management Corporation
Same address
Family Medicine
2204 PAVILION DR, SUITE 310
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1730401209 (423) 224-3900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

FELICIA GRACE BERRY FNP
Nurse Practitioner (Family)
2204 PAVILION DR STE 210
KINGSPORT, TN 37660
Sullivan County (423) 224-3933

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 Sarah Nichols's NPI number?

The NPI number for Sarah Nichols is 1053818807. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Sarah Nichols located?

Sarah Nichols practices at 2204 Pavilion Dr Ste 210, Kingsport, TN 37660. The listed phone number is (423) 224-3933.

What is Sarah Nichols's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sarah Nichols enrolled in Medicare?

Yes. Sarah Nichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sarah Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Nichols reassigns Medicare benefits to Blue Ridge Medical Management Corporation (Kingsport, TN). The 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 Sarah Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Nichols accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and Oscar Insurance Company list Sarah Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sarah Nichols was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.