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

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

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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.

DR. VIKTOR P SULKOWSKI M.D.

Specialist