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MS. KALLI LYN DEVECKI D.O.
NPI 1639600653
Surgery - Surgical Critical Care in Johnson City, TN

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604(423) 431-2460 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Sep 7, 2023, Mar 27, 2017 and 1 more (4 updates tracked since 2017).

About Ms. Kalli Lyn Devecki D.o. NPPES

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

MS. KALLI LYN DEVECKI D.O. (NPI 1639600653) is an individual surgical critical care provider in Johnson City, Tennessee, licensed in Tennessee (5255) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1639600653
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameMS. KALLI LYN DEVECKICredential: D.O.
Location Address410 N STATE OF FRANKLIN RD STE 130Johnson City, TN 37604-6972
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111
Phone(423) 431-2460
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 22, 2017
Last NPPES UpdateFebruary 19, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1639600653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in TN · 5255
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 5255 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
410 N STATE OF FRANKLIN RD STE 130, Johnson City, TN 37604
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Secondary Practice Location 1

Location 1655 W 8th St, Box FC12Jacksonville, FL 32209-6511 · Phone (904) 383-1015 · Fax (904) 244-8172

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kalli Lyn Devecki D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870865439
PECOS Enrollment IDI20230831003161
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.

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
89 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
51 services33 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
42 services42 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440018
Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Other Providers at the Same Location NPPES 17

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

DR. RAMIN A BEHMAND
Plastic Surgery
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
RYAN M LANDIS MD
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
ANTHONY JAMES MIDKIFF PA-C
Physician Assistant
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2460
SAVANNA M WHITEHEAD NP
Nurse Practitioner (Family)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
ALICIA B LANDRY PA-C
Physician Assistant (Surgical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
LOU M. SMITH M.D.
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
JAMES OWEN THIGPEN PA-C
Physician Assistant (Medical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
DR. ALEXANDRA NICOLE JOHNSON DO
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477

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 Kalli Devecki's NPI number?

The NPI number for Kalli Devecki is 1639600653. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Kalli Devecki located?

Kalli Devecki practices at 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604. The listed phone number is (423) 431-2460.

What is Kalli Devecki's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Kalli Devecki enrolled in Medicare?

Yes. Kalli Devecki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kalli Devecki affiliated with any hospitals?

According to CMS data, Kalli Devecki is affiliated with Wellmont Holston Valley Medical Center, Sycamore Shoals Hospital, Johnson City Medical Center and Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Kalli Devecki was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.