KINGSPORT MEDICAL CENTER
NPI 1649270364
Clinic/Center - Federally Qualified Health Center (FQHC) in Kingsport, TN
About Kingsport Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINGSPORT MEDICAL CENTER (NPI 1649270364) is a healthcare organization registered as a federally qualified health center (fqhc) in Kingsport, Tennessee and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through April 27, 2028 and lists Linda W Buck, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 7
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kingsport Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
48Medicare enrollment records show 48 clinicians reassign Medicare billing to Kingsport Medical Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 48Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Compliance 44D0876195
Kingsport Medical Center · Kingsport, TNFrequently 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 Rural Health Services Consortium Of Upper East Tennessee Inc's NPI number?
The NPI number for Rural Health Services Consortium Of Upper East Tennessee Inc is 1649270364. It was assigned to this organization in the NPPES registry on July 22, 2005. The provider is doing business as Kingsport Medical Center.
Where is Rural Health Services Consortium Of Upper East Tennessee Inc located?
Rural Health Services Consortium Of Upper East Tennessee Inc is located at 737 E Sevier Ave, Kingsport, TN 37660. The listed phone number is (423) 246-7922.
What is Rural Health Services Consortium Of Upper East Tennessee Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Rural Health Services Consortium Of Upper East Tennessee Inc enrolled in Medicare?
Yes. Rural Health Services Consortium Of Upper East Tennessee Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rural Health Services Consortium Of Upper East Tennessee Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 7 Medicare specialties reassign their Medicare billing to Rural Health Services Consortium Of Upper East Tennessee Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (34), Family Practice (6) and Clinical Social Worker (2). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rural Health Services Consortium Of Upper East Tennessee Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 44D0876195) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Rural Health Services Consortium Of Upper East Tennessee Inc was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kingsport Medical Center · NPI 1649270364
Federally Qualified Health Center (FQHC) organization in Kingsport, Tennessee. Organization record, active in the CMS NPPES registry since July 22, 2005.
## Identity
- **NPI:** 1649270364 (Entity type: Organization)
- **Enumerated:** July 22, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Rural Health Services Consortium Of Upper East Tennessee Inc
- **Organization subpart:** No
- **Authorized official:** Linda Buck, CEO
## Practice location
- **Address:** 737 E SEVIER AVE, Kingsport, TN 37660-4912
- **Phone:** (423) 246-7922 · **Fax:** (423) 246-4248
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 48 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (34), Family Practice (6), Clinical Social Worker (2); 4 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1649270364/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2008
- **Other identifiers:** Medicaid 4448223 (TN); Other 3703862; Other 4122525 (TN); and 4 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649270364) · Data from the CMS NPPES public registry.