WELLMONT HEALTH SERVICES, INC
NPI 1205136942
Internal Medicine - Pulmonary Disease in Bristol, TN

NPI Status: Active since October 28, 2010

Contact Information

1 MEDICAL PARK BLVD
BRISTOL, TN
ZIP 37620
Phone: (423) 857-2066
Fax: (423) 857-2070

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  • Organization
  • Internal Medicine
  • Pulmonary Disease
  • CLIA Number: 44D0028489
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-17-2026

About WELLMONT HEALTH SERVICES, INC

This page provides the complete NPI Profile along with additional information for Wellmont Health Services, Inc, an internist established in Bristol, Tennessee operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1205136942 assigned on October 2010. The practitioner's primary taxonomy code is 207RP1001X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Wellmont Health Services, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Craig Kilgore (Executive Director)

NPI
1205136942
Provider Name
WELLMONT HEALTH SERVICES, INC
Entity Type
Organization
Location Address
1 MEDICAL PARK BLVD BRISTOL, TN 37620
Location Phone
(423) 857-2066
Location Fax
(423) 857-2070
Mailing Address
PO BOX 9 KINGSPORT, TN 37662
Mailing Phone
(423) 857-2066
Mailing Fax
(423) 857-2070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2010
Last Update Date
10-28-2010
Code Navigator

An internist like Wellmont Health Services, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RS0012XAllopathic & Osteopathic Physicians

Internal Medicine
Sleep Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CRAIG KILGORE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(423) 578-1512

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0028489
Facility Type
Hospital
Certificate Effective Date
August 18, 2024
Certificate Expiration Date
August 17, 2026
Laboratory Director
DR. WAEL EL-MINAOUI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Wellmont Health Services, Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205136942, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 2 + 3 + 1 + 2 + 9 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1205136942.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
1 MEDICAL PARK BLVD, SUITE 106-E
BRISTOL, TN 37620
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Radiology (Diagnostic Radiology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Radiology (Diagnostic Radiology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Radiology (Diagnostic Radiology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Radiology (Diagnostic Radiology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Dentist (Oral and Maxillofacial Surgery)
1 MEDICAL PARK BLVD, SUITE 440 EAST
BRISTOL, TN 37620
Radiology (Diagnostic Radiology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pharmacy Technician
1 MEDICAL PARK BLVD, SUITE 106-E
BRISTOL, TN 37620
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Orthopaedic Surgery
1 MEDICAL PARK BLVD, STE 300 E
BRISTOL, TN 37620
Orthopaedic Surgery
1 MEDICAL PARK BLVD, STE 300 E
BRISTOL, TN 37620
Dentist (Oral and Maxillofacial Surgery)
1 MEDICAL PARK BLVD, SUITE 440 EAST
BRISTOL, TN 37620
Pharmacist
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pharmacist
1 MEDICAL PARK BLVD, SUITE 106E
BRISTOL, TN 37620
Radiology (Diagnostic Radiology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Physical Therapist
1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205136942, enumerated as an "organization" on October 28, 2010.

The provider is located at 1 MEDICAL PARK BLVD BRISTOL, TN 37620 and the phone number is (423) 857-2066.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.