INTERNAL MEDICINE AND PEDIATRIC ASSOC OF BRISTOL
NPI 1093760902
Internal Medicine in Bristol, TN
About Internal Medicine And Pediatric Assoc Of Bristol NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERNAL MEDICINE AND PEDIATRIC ASSOC OF BRISTOL (NPI 1093760902), doing business as Internal Medicine And Pediatric Associates Of Bristol Pc, is a healthcare organization registered as an internal medicine in Bristol, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through July 2, 2027 and lists Vicki L Moody, Practice Executive, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Internal Medicine And Pediatric Assoc Of Bristol is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Internal Medicine And Pediatric Assoc Of Bristol, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 for Provider-Performed Microscopy Procedures (PPMP) 44D0694591
Internal Medicine And Pediatric Associates, PLLC · Bristol, TNFrequently 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 Internal Medicine And Pediatric Assoc Of Bristol's NPI number?
The NPI number for Internal Medicine And Pediatric Assoc Of Bristol is 1093760902. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as internal medicine and pediatric associates of bristol pc.
Where is Internal Medicine And Pediatric Assoc Of Bristol located?
Internal Medicine And Pediatric Assoc Of Bristol is located at 350 Steeles Road, Bristol, TN 37620. The listed phone number is (423) 844-6700.
What is Internal Medicine And Pediatric Assoc Of Bristol's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Internal Medicine And Pediatric Assoc Of Bristol enrolled in Medicare?
Yes. Internal Medicine And Pediatric Assoc Of Bristol is registered in the Medicare PECOS enrollment system.
When is Internal Medicine And Pediatric Assoc Of Bristol's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Internal Medicine And Pediatric Assoc Of Bristol?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Internal Medicine And Pediatric Assoc Of Bristol. 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. The largest specialties are Internal Medicine (3), Nurse Practitioner (2) and Family Practice (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Internal Medicine And Pediatric Assoc Of Bristol hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0694591) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Internal Medicine And Pediatric Assoc Of Bristol was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Internal Medicine And Pediatric Assoc Of Bristol · NPI 1093760902
Internal Medicine organization in Bristol, Tennessee. Organization record, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1093760902 (Entity type: Organization)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** internal medicine and pediatric associates of bristol pc (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Vicki Moody, PRACTICE EXECUTIVE
## Practice location
- **Address:** 350 STEELES ROAD, Bristol, TN 37620-9532
- **Phone:** (423) 844-6700 · **Fax:** (423) 844-6703
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Nurse Practitioner (2), Family Practice (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2026
- **Other identifiers:** Other CG2912 (SD); Other 3707101 (TN); Other CG2912 (SD)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093760902) · Data from the CMS NPPES public registry.