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HOLSTON VALLEY AMBULATORY SURGERY CENTER, LLC
NPI 1356396857
Clinic/Center - Ambulatory Surgical in Kingsport, TN

Active since May 23, 2006CLIA 44D1051912 · Waiver
103 W STONE DR, KINGSPORT, TN 37660(423) 224-4910 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2024, Aug 2, 2022, Jan 10, 2020 and 1 more (4 updates tracked since 2019).

About Holston Valley Ambulatory Surgery Center, Llc NPPES

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

HOLSTON VALLEY AMBULATORY SURGERY CENTER, LLC (NPI 1356396857) is a healthcare organization registered as an ambulatory surgical in Kingsport, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Kristen Oconnor, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1356396857
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameHOLSTON VALLEY AMBULATORY SURGERY CENTER, LLC
Location Address103 W STONE DRKingsport, TN 37660-3220
Mailing Address103 W Stone DrKingsport, TN 37660-3220 · (423) 224-4910
Phone(423) 224-4910
Organization SubpartNo
Authorized OfficialKristen OconnorOfficer/authorized Official · (615) 376-7315
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1356396857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in TN · 00000142
103 W STONE DR, Kingsport, TN 37660
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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 44D1051912

Holston Valley Ambulatory Surgery Center · Kingsport, TN
Active · expires Mar 13, 2028
CLIA Number44D1051912
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorMark Dixon
Laboratory Phone(423) 224-4910
Laboratory LocationHolston Valley Ambulatory Surgery Center103 West Stone Drive, 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 9

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.
9,044 services43 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
130 services76 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.
46 services31 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.
25 services25 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.
24 services19 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
20 services20 patients

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ALLENE PROCTOR HEATON PT
Physical Therapist
103 W STONE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-5751
MR. PETER JOHN KITCHING OT
Occupational Therapist
103 W STONE DR
KINGSPORT, TN 37660
Sullivan County (423) 224-5751
MARY REBECCA MOONEY PT
Physical Therapist
103 W STONE DR
KINGSPORT, TN 37660
Sullivan County (423) 224-5751
SARAH ELIZABETH CALDWELL P.T.
Physical Therapist
103 W STONE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-2059
JAMES TODD KETRON
Physical Therapist (Orthopedic)
103 W STONE DR
KINGSPORT, TN 37660
Sullivan County (423) 224-5751
MR. SHANNON ARTHUR BARKER DPT
Physical Therapist
103 W STONE DR
KINGSPORT, TN 37660
Sullivan County (423) 224-5751
MS. JANET ANNE HALL PT
Physical Therapist
103 W STONE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3092
MR. ERIC DEAN BECKERINK PTA
Physical Therapy Assistant
103 W STONE DR
KINGSPORT, TN 37660
Sullivan County (423) 224-5751

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 Holston Valley Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Holston Valley Ambulatory Surgery Center, LLC is 1356396857. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Holston Valley Ambulatory Surgery Center, LLC located?

Holston Valley Ambulatory Surgery Center, LLC is located at 103 W Stone Dr, Kingsport, TN 37660. The listed phone number is (423) 224-4910.

What is Holston Valley Ambulatory Surgery Center, LLC's specialty?

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

Does Holston Valley Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1051912) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Holston Valley Ambulatory Surgery Center, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Holston Valley Ambulatory Surgery Center, LLC 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 Holston Valley Ambulatory Surgery Center, LLC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.