SBH-KINGSPORT
NPI 1174038749
Psychiatric Hospital in Kingsport, TN
About Sbh-kingsport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SBH-KINGSPORT (NPI 1174038749), doing business as Creekside Behavioral Health, is a healthcare organization registered as a psychiatric hospital in Kingsport, Tennessee and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through September 10, 2028, maintains a secondary practice location in Kingsport, and lists James Steve Hinkle, General Counsel & Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sbh-kingsport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Sbh-Kingsport, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 29Source: 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 of Waiver 44D2154371
Sbh-Kingsport, LLC Dba Creekside Behavorial Health · Kingsport, TNHospital Quality Ratings CMS Care Compare
Quality and patient-experience ratings for Creekside Behavioral Health (CMS certification number 444027), from CMS Care Compare.
Creekside Behavioral Health
Psychiatric · Kingsport, 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 Sbh-Kingsport's NPI number?
The NPI number for Sbh-Kingsport is 1174038749. It was assigned to this organization in the NPPES registry on December 5, 2017. The provider is doing business as Creekside Behavioral Health.
Where is Sbh-Kingsport located?
Sbh-Kingsport is located at 1025 Executive Park Blvd, Kingsport, TN 37660. The listed phone number is (901) 969-3100.
What is Sbh-Kingsport's specialty?
The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.
Is Sbh-Kingsport enrolled in Medicare?
Yes. Sbh-Kingsport is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sbh-Kingsport?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 2 Medicare specialties reassign their Medicare billing to Sbh-Kingsport. 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 Nurse Practitioner (24) and Psychiatry (5). Of these, 9 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sbh-Kingsport hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2154371) is associated with this NPI, valid through September 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Sbh-Kingsport a Medicare-certified hospital?
Yes. Creekside Behavioral Health is a Medicare-certified hospital (Psychiatric).
What insurance does Sbh-Kingsport accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Sbh-Kingsport 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 Sbh-Kingsport was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sbh-Kingsport · NPI 1174038749
Psychiatric Hospital organization in Kingsport, Tennessee. Organization record, active in the CMS NPPES registry since December 5, 2017.
## Identity
- **NPI:** 1174038749 (Entity type: Organization)
- **Enumerated:** December 5, 2017
- **Primary specialty:** Psychiatric Hospital · taxonomy 283Q00000X
- **Also known as:** Creekside Behavioral Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** James Hinkle, GENERAL COUNSEL & SECRETARY
## Practice location
- **Address:** 1025 EXECUTIVE PARK BLVD, Kingsport, TN 37660
- **Phone:** (901) 969-3100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Psychiatry (5); 9 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1174038749/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174038749) · Data from the CMS NPPES public registry.