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TRI-CITIES GASTROENTEROLOGY LLC
NPI 1083639918
Internal Medicine - Gastroenterology in Kingsport, TN

Active since July 13, 2006CLIA 44D1002527 · Certificate of Compliance
10461 WALLACE ALLEY ST, KINGSPORT, TN 37663(423) 279-1400 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2023, Oct 21, 2022, Dec 13, 2018 (3 updates tracked since 2018).

About Tri-cities Gastroenterology Llc NPPES

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

TRI-CITIES GASTROENTEROLOGY LLC (NPI 1083639918) is a healthcare organization registered as a gastroenterology in Kingsport, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 27, 2026 and lists Michelle Carmela Merritt, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1083639918
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameTRI-CITIES GASTROENTEROLOGY LLC
Location Address10461 WALLACE ALLEY STKingsport, TN 37663-3936
Mailing Address10461 Wallace Alley StKingsport, TN 37663-3936 · (423) 279-1400
Phone(423) 279-1400
Organization SubpartNo
Authorized OfficialMichelle Carmela MerrittPractice Administrator · (423) 279-1414
Enumeration DateJuly 13, 2006
Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1083639918 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.
10461 WALLACE ALLEY ST, Kingsport, TN 37663
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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 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 44D1002527

Tri-Cities Gastroenterology · Kingsport, TN
Active · expires Oct 27, 2026
CLIA Number44D1002527
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorDr. James W. Denham
Laboratory Phone(423) 279-1414
Laboratory LocationTri-Cities Gastroenterology10461 Wallace Alley St, Kingsport, TN 37663
CLIA data matches this NPI record on: Address Name Phone
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 9

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

TRI-CITIES ENDOSCOPY CENTER PC
Clinic/Center (Ambulatory Surgical)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
RIANN J BURROUGHS FNP
Nurse Practitioner (Family)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (234) 279-1400
SUSANNE S MCKINNEY N.P.
Registered Nurse (Gastroenterology)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
EAST TENNESSEE ANESTHESIA PROVIDERS, PC
Specialist
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
JEFFREY P FENYVES M.D.
Internal Medicine (Gastroenterology)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
STEPHEN W FRY M.D.
Internal Medicine (Gastroenterology)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
DR. VIKTOR P SULKOWSKI M.D.
Specialist
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
GENESIA DICKSON IRICK FNP
Nurse Practitioner (Family)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400

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 Tri-Cities Gastroenterology LLC's NPI number?

The NPI number for Tri-Cities Gastroenterology LLC is 1083639918. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Tri-Cities Gastroenterology LLC located?

Tri-Cities Gastroenterology LLC is located at 10461 Wallace Alley St, Kingsport, TN 37663. The listed phone number is (423) 279-1400.

What is Tri-Cities Gastroenterology LLC's specialty?

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

Does Tri-Cities Gastroenterology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D1002527) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tri-Cities Gastroenterology LLC was last updated on October 26, 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.