SULLIVAN DIGESTIVE CENTER
NPI 1235140385
Clinic/Center - Endoscopy in Kingsport, TN

NPI Status: Active since August 11, 2006

Contact Information

2204 PAVILION DR STE 108
KINGSPORT, TN
ZIP 37660
Phone: (423) 392-6100
Fax: (423) 392-6159

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  • Organization
  • Clinic/Center
  • Endoscopy
  • Accepts Insurance
  • CLIA Number: 44D0885934
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-09-2028

About SULLIVAN DIGESTIVE CENTER

This page provides the complete NPI Profile along with additional information for Sullivan Digestive Center, a provider established in Kingsport, Tennessee operating as a Clinic/center, focusing in endoscopy . The healthcare provider is registered in the NPI registry with number 1235140385 assigned on August 2006. The practitioner's primary taxonomy code is 261QE0800X with license number 0000000053 (TN). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Sullivan Digestive Center. The authorized official of this NPI record is Ms. Penny Leigh Lloyd (Administrator)

NPI
1235140385
Provider Legal Name
ENDOSCOPY CENTER OF KINGSPORT
Other Organization Name
SULLIVAN DIGESTIVE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2204 PAVILION DR STE 108 KINGSPORT, TN 37660
Location Phone
(423) 392-6100
Location Fax
(423) 392-6159
Mailing Address
2204 PAVILION DR SUITE 108 KINGSPORT, TN 37660
Mailing Phone
(423) 392-6100
Mailing Fax
(423) 392-6159
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2006
Last Update Date
11-28-2023
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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

Clinic/Center Endoscopy

Taxonomy Code
261QE0800X
Type
Ambulatory Health Care Facilities
License No.
0000000053
License State
TN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. PENNY LEIGH LLOYD

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(423) 392-6100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1000910OTHER (01)TNBLUE CROSS BLUE SHIELD
3287396MEDICAID (05)TN 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 267 times for 257 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 27 times for 27 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 56 times for 56 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 13 times for 13 patients

Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a flexible tool called an endoscope to identify and remove abnormal growths or polyps in the esophagus, stomach, or upper small bowel. It's a safe way to prevent these growths from causing health issues.

This service was performed 15 times for 14 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 45 times for 45 patients

Dilation of esophagus

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

This service was performed 151 times for 146 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 16 times for 14 patients

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
44D0885934
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 10, 2026
Certificate Expiration Date
May 09, 2028
Laboratory Director
MICHAEL J. SULLIVAN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sullivan Digestive Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1235140385, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 3 → 6 1 → 2 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 6 + 5 + 2 + 4 + 0 + 3 + 1 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1235140385.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physician Assistant
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Internal Medicine (Gastroenterology)
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Internal Medicine (Gastroenterology)
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2204 PAVILION DR STE 108
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2204 PAVILION DR STE 108
KINGSPORT, TN 37660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235140385, enumerated as an "organization" on August 11, 2006.

The provider is located at 2204 PAVILION DR STE 108 KINGSPORT, TN 37660 and the phone number is (423) 392-6100.

Clinic/Center with taxonomy code 261QE0800X and a focus in Endoscopy.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.