WATAUGA SURGICAL PARTNERS PLLC
NPI 1194437624
Clinic/Center - Ambulatory Surgical in Kingsport, TN

Active since December 15, 2022
10425 WALLACE ALLEY STREET, KINGSPORT, TN 37663(423) 282-9011(423) 282-0035 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Watauga Surgical Partners Pllc NPPES

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

WATAUGA SURGICAL PARTNERS PLLC (NPI 1194437624) is a healthcare organization registered as an ambulatory surgical in Kingsport, Tennessee and active in the NPI registry since December 2022. The organization lists Kim Marden, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1194437624
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWATAUGA SURGICAL PARTNERS PLLC
Location Address10425 WALLACE ALLEY STREETKingsport, TN 37663
Mailing Address2410 Susannah StreetJohnson City, TN 37601
Fax(423) 282-0035
Organization SubpartNo
Authorized OfficialKim MardenChief Executive Officer · (423) 282-9011
Enumeration DateDecember 15, 2022
NPPES CertifiedDecember 15, 2022
NPI 1194437624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
10425 WALLACE ALLEY STREET, Kingsport, TN 37663

Accepted Insurance

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
9,710 services71 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
131 services131 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
76 services76 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
75 services49 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
51 services45 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
41 services28 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Watauga Surgical Partners PLLC carries, from the Medicare DMEPOS supplier directory.

Watauga Surgical Partners PLLC

DMEPOS supplier · Kingsport, TN

Accepts Medicare assignment

Watauga Surgical Partners PLLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)24548436
Medicare Participant SinceSeptember 11, 2023
Supplier Location10425 Wallace Alley StKingsport, TN 37663
Provider TypeAmbulatory Surgical Center

Medicare Product Categories

Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Watauga Surgical Partners PLLC's NPI number?

The NPI number for Watauga Surgical Partners PLLC is 1194437624. It was assigned to this organization in the NPPES registry on December 15, 2022.

Where is Watauga Surgical Partners PLLC located?

Watauga Surgical Partners PLLC is located at 10425 Wallace Alley Street, Kingsport, TN 37663. The listed phone number is (423) 282-9011.

What is Watauga Surgical Partners PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Watauga Surgical Partners PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Watauga Surgical Partners PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Watauga Surgical Partners PLLC accept?

Health plans from BlueCross BlueShield of Tennessee list Watauga Surgical Partners 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 Watauga Surgical Partners PLLC was last updated on December 15, 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.