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SURGOINSVILLE PHARMACY
NPI 1164144648
Pharmacy - Long Term Care Pharmacy in Surgoinsville, TN

Active since September 13, 2022CLIA 44D2132778 · Waiver
114 BELLAMY AVE, SURGOINSVILLE, TN 37873(423) 345-0333(423) 345-0336 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgoinsville Pharmacy NPPES

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

SURGOINSVILLE PHARMACY (NPI 1164144648) is a healthcare organization registered as a long term care pharmacy in Surgoinsville, Tennessee and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Beth Bryan, Owner, as its authorized official.

NPPES Registry Identity

NPI1164144648
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBISE, PLLC
Location Address114 BELLAMY AVESurgoinsville, TN 37873-2700
Mailing AddressPo Box 105Surgoinsville, TN 37873-0105 · (423) 345-0333
Phone(423) 345-0333
Fax(423) 345-0336
Organization SubpartNo
Authorized OfficialBeth BryanOwner · (423) 345-0333
Enumeration DateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1164144648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
114 BELLAMY AVE, Surgoinsville, TN 37873
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Other Names 1

Doing Business AsSurgoinsville Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

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 Waiver 44D2132778

Surgoinsville Pharmacy · Surgoinsville, TN
Active · expires Jun 26, 2027
CLIA Number44D2132778
Laboratory TypePharmacy
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorBeth A. Bryan
Laboratory Phone(423) 345-0333
Laboratory LocationSurgoinsville Pharmacy114 Bellamy Avenue, Surgoinsville, TN 37873
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. MELVIN BLAINE JONES III MD
Family Medicine
114 BELLAMY AVE, SUITE B
SURGOINSVILLE, TN 37873
Hawkins County (423) 345-6271
MCKENZIE SUZANNE PAYNE PHARMD
Pharmacist
114 BELLAMY AVE
SURGOINSVILLE, TN 37873
Hawkins County (423) 345-0333
BISE, PLLC
Exclusive Provider Organization
114 BELLAMY AVE
SURGOINSVILLE, TN 37873
Hawkins County (423) 345-0333
AMBER LIPE SUTHERS
Health and Wellness Coach
114 BELLAMY AVE
SURGOINSVILLE, TN 37873
Hawkins County (423) 345-0333
LAUREN MORGAN NP
Nurse Practitioner (Family)
114 BELLAMY AVE
SURGOINSVILLE, TN 37873
Hawkins County (573) 814-1170
ERICA DANIELLE EIDSON
Health and Wellness Coach
114 BELLAMY AVE
SURGOINSVILLE, TN 37873
Hawkins County (423) 345-0333

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 Bise, PLLC's NPI number?

The NPI number for Bise, PLLC is 1164144648. It was assigned to this organization in the NPPES registry on September 13, 2022. The provider is doing business as Surgoinsville Pharmacy.

Where is Bise, PLLC located?

Bise, PLLC is located at 114 Bellamy Ave, Surgoinsville, TN 37873. The listed phone number is (423) 345-0333.

What is Bise, PLLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Bise, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2132778) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bise, PLLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 10 other insurers list Bise, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bise, PLLC was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.