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

Q: What is Endoscopy Center Of Kingsport's NPI number?

The NPI number for Endoscopy Center Of Kingsport is 1235140385. It was assigned to this organization in the NPPES registry on August 11, 2006. The provider is doing business as Sullivan Digestive Center.

Q: What is Endoscopy Center Of Kingsport's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Active since August 11, 2006CLIA 44D0885934 · Waiver

2204 PAVILION DR STE 108, KINGSPORT, TN 37660(423) 392-6100(423) 392-6159 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2022, Nov 5, 2021 (2 updates tracked since 2021).

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About Sullivan Digestive Center NPPES

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

SULLIVAN DIGESTIVE CENTER (NPI 1235140385) is a healthcare organization registered as an endoscopy in Kingsport, Tennessee and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Penny Leigh Lloyd, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235140385

Entity TypeOrganization

Primary Taxonomy261QE0800X

Legal Business NameENDOSCOPY CENTER OF KINGSPORT

Location Address2204 PAVILION DR STE 108Kingsport, TN 37660-4651

Mailing Address2204 Pavilion Dr, Suite 108Kingsport, TN 37660-4657 · (423) 392-6100 · Fax (423) 392-6159

Phone(423) 392-6100

Fax(423) 392-6159

Organization SubpartNo

Authorized OfficialPenny Leigh LloydAdministrator · (423) 392-6100

Enumeration DateAugust 11, 2006

Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration

NPPES CertifiedNovember 28, 2023

✔ NPI 1235140385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities

Taxonomy Code261QE0800X

License✔ Licensed in TN · 0000000053

2204 PAVILION DR STE 108, Kingsport, TN 37660

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Other Names 1

Doing Business AsSullivan Digestive Center

Other Identifiers 2

Other1000910TN · Blue Cross Blue Shield

Medicaid3287396TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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 44D0885934

Endoscopy Center Of Kingsport Dba Sullivan Digestive Center · Kingsport, TN

Active · expires May 9, 2028

CLIA Number44D0885934

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 10, 2026

Certificate Expiration DateMay 9, 2028

Laboratory DirectorMichael J. Sullivan MD

Laboratory Phone(423) 392-6100

Laboratory LocationEndoscopy Center Of Kingsport Dba Sullivan Digestive Center2204 Pavilion Drive Ste 108, Kingsport, TN 37660

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

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.

166 services157 patients

Dilation of esophagus 43450

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.

91 services86 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

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.

36 services36 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

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.

30 services30 patients

Biopsy of large bowel using a flexible endoscope 45380

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.

26 services25 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

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.

11 services11 patients

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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.

SULLIVAN AND PTRS

Internal Medicine (Gastroenterology)