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TRI-STATE TELEMED LLC
NPI 1093180903
General Practice in South Point, OH

Active since December 02, 2015
178 PRIVATE ROAD 19423, SOUTH POINT, OH 45680(304) 208-5978 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tri-state Telemed Llc NPPES

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

TRI-STATE TELEMED LLC (NPI 1093180903) is a healthcare organization registered as a general practice in South Point, Ohio and active in the NPI registry since December 2015. The organization lists Shannon Maxey, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093180903
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTRI-STATE TELEMED LLC
Location Address178 PRIVATE ROAD 19423South Point, OH 45680-8831
Mailing Address620 Private Road 19423South Point, OH 45680-9019 · (304) 208-5978
Phone(304) 208-5978
Organization SubpartNo
Authorized OfficialShannon MaxeyMedical Director · (304) 208-5978
Enumeration DateDecember 2, 2015
✔ NPI 1093180903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in KY · 48537
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1121101 (KY)
178 PRIVATE ROAD 19423, South Point, OH 45680
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ALLISON NICOLE WELLS
Case Manager/Care Coordinator
178 PRIVATE ROAD 19423
SOUTH POINT, OH 45680
Lawrence County (740) 263-2626
BETHANY FELINTON
Social Worker
178 PRIVATE ROAD 19423
SOUTH POINT, OH 45680
Lawrence County (740) 451-0741
SEAN DOUGLAS PRESTON
Case Manager/Care Coordinator
178 PRIVATE ROAD 19423
SOUTH POINT, OH 45680
Lawrence County (740) 263-2626
STEPHANIE DAWN VANOVER MSW, LSW
Social Worker
178 PRIVATE ROAD 19423
SOUTH POINT, OH 45680
Lawrence County (740) 263-2626
ANGELA PHARES
Nurse Practitioner (Family)
178 PRIVATE ROAD 19423
SOUTH POINT, OH 45680
Lawrence County (740) 263-2626
VICTORIA LYNN VENCILL
Social Worker
178 PRIVATE ROAD 19423
SOUTH POINT, OH 45680
Lawrence County (740) 451-0741
LUCINDA SCHROEDER MSW, LSW
Social Worker
178 PRIVATE ROAD 19423
SOUTH POINT, OH 45680
Lawrence County (740) 451-0741
OLIVIA PHIPPS
Social Worker
178 PRIVATE ROAD 19423
SOUTH POINT, OH 45680
Lawrence County (740) 263-2626

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-State Telemed LLC's NPI number?

The NPI number for Tri-State Telemed LLC is 1093180903. It was assigned to this organization in the NPPES registry on December 2, 2015.

Where is Tri-State Telemed LLC located?

Tri-State Telemed LLC is located at 178 Private Road 19423, South Point, OH 45680. The listed phone number is (304) 208-5978.

What is Tri-State Telemed LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Tri-State Telemed LLC was last updated on December 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.