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JAMES PAUL QUALLS DO
NPI 1396239174
Student in an Organized Health Care Education/Training Program in Kingsport, TN

Active since June 15, 2018PECOS Enrolled
102 E RAVINE RD, KINGSPORT, TN 37660(423) 245-9600(423) 245-9634 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2024, Jun 15, 2018 (2 updates tracked since 2018).

About James Paul Qualls Do NPPES

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

JAMES PAUL QUALLS DO (NPI 1396239174) is an individual student in an organized health care education/training program in Kingsport, Tennessee and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396239174
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAMES PAUL QUALLSCredential: DO
Location Address102 E RAVINE RDKingsport, TN 37660-3814
Mailing Address102 E Ravine RdKingsport, TN 37660-3814 · (423) 245-9600 · Fax (423) 245-9634
Phone(423) 245-9600
Fax(423) 245-9634
Sole ProprietorNo
Enumeration DateJune 15, 2018
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1396239174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
102 E RAVINE RD, Kingsport, TN 37660
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Paul Qualls Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ABRAHAM LESNIEWSKI MD
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
SHANIA SIEBERT
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
DR. ISSA ASFOUR MD
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
KAYLA MARIE DAHLEY D.O.
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
KATELYN MOATS FRALEY DO
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
BETH ANNE FOX M.D.
Family Medicine
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
CRAIG WASSINGER PT
Physical Therapist
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
GREGORY J COOPER
Family Medicine
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600

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 James Qualls's NPI number?

The NPI number for James Qualls is 1396239174. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is James Qualls located?

James Qualls practices at 102 E Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 245-9600.

What is James Qualls's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is James Qualls enrolled in Medicare?

Yes. James Qualls is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Qualls was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.