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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC
NPI 1104277656
Nurse Practitioner - Psychiatric/Mental Health in Bristol, TN

Active since June 27, 2016
1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-1121 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Oct 31, 2023, Jun 27, 2016 (3 updates tracked since 2016).

About Ipc Pac Healthcare Services Of Tennessee Pc NPPES

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

IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC (NPI 1104277656) is a healthcare organization registered as a psychiatric/mental health in Bristol, Tennessee and active in the NPI registry since June 2016. The organization lists Randal Dabbs, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1104277656
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameIPC PAC HEALTHCARE SERVICES OF TENNESSEE PC
Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430
Mailing Address265 Brookview Centre Way, Ste 400Knoxville, TN 37919-4052 · (865) 693-1000
Phone(423) 844-1121
Organization SubpartNo
Authorized OfficialRandal DabbsOwner/president · (865) 693-1000
Enumeration DateJune 27, 2016
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1104277656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1 MEDICAL PARK BLVD, Bristol, TN 37620
Open in Google Maps ↗

Other Identifiers 1

Other20144TN · License

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

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.

CASSONDRA NICHOLE COMPTON CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2686
DAVID R HUDGENS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220
DR. JEAN MARIE MANCINI M.D.
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Sullivan County (423) 968-3713
THOMAS A KITTS MD
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2100
LAURA ANN ELLER AGACNP
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. WALTER DAVIS ARNOLD JR. MD
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 282-1480
DR. KARL E LAWRENCE M.D.
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. MICHAEL WAYNE RENTZ MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220

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 Ipc Pac Healthcare Services Of Tennessee PC's NPI number?

The NPI number for Ipc Pac Healthcare Services Of Tennessee PC is 1104277656. It was assigned to this organization in the NPPES registry on June 27, 2016.

Where is Ipc Pac Healthcare Services Of Tennessee PC located?

Ipc Pac Healthcare Services Of Tennessee PC is located at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.

What is Ipc Pac Healthcare Services Of Tennessee PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ipc Pac Healthcare Services Of Tennessee PC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.