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EAST TENNESSEE AMBULATORY SURGERY CENTER LLC
NPI 1659360071
Clinic/Center - Ambulatory Surgical in Johnson City, TN

Active since October 18, 2005CLIA 44D0964457 · Waiver
701 MED TECH PKWY, JOHNSON CITY, TN 37604(423) 283-7302(423) 282-3670 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About East Tennessee Ambulatory Surgery Center Llc NPPES

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

EAST TENNESSEE AMBULATORY SURGERY CENTER LLC (NPI 1659360071) is a healthcare organization registered as an ambulatory surgical in Johnson City, Tennessee and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Jim N Brantner, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1659360071
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEAST TENNESSEE AMBULATORY SURGERY CENTER LLC
Location Address701 MED TECH PKWYJohnson City, TN 37604-2259
Mailing Address701 Med Tech PkwyJohnson City, TN 37604-2259 · (423) 283-7302 · Fax (423) 282-3670
Phone(423) 283-7302
Fax(423) 282-3670
Organization SubpartNo
Authorized OfficialJim N BrantnerMedical Director · (423) 283-7302
Enumeration DateOctober 18, 2005
Last NPPES UpdateApril 20, 2008
✔ NPI 1659360071 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 · 0000000109
701 MED TECH PKWY, Johnson City, TN 37604
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type Unspecified3288092TN
Other145422Umwa
Medicaid3288092TN
Other3135707Bcbs Of Tn
Other0007447071Aetna
Other3135707TN · Bcbs Tenncare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Tennessee Ambulatory Surgery Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

294

Medicare enrollment records show 294 clinicians reassign Medicare billing to East Tennessee Ambulatory Surgery Center LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 54 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)226
Anesthesiology68

Nearest to this location (20)

See all 294
Lorna Ehrenfried, M.D.
Anesthesiology
NPI 1932211414
701 MED TECH PKWY STE 100
Johnson City, TN 37604
(423) 283-7302
✔ PECOS✔ Accepts MedicareSame address
Eliza Hampton, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1245554054
701 MED TECH PKWY STE 100
Johnson City, TN 37604
(423) 968-4540
✔ Accepts MedicareSame address
Aaron Brown, MD
Anesthesiology
NPI 1497705743
701 MED TECH PKWY
Johnson City, TN 37604
(423) 283-7302
✔ PECOS✔ Accepts MedicareSame address
Gabriel Perry
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306594239
199 BRANDONWOOD DR
Johnson City, TN 37604
(423) 773-4656
✔ Accepts Medicare0.8 mi
Will Cassell, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316317712
1009 LARK ST SUITE 2
Johnson City, TN 37604
(423) 283-0776
✔ Accepts Medicare1.3 mi
Lori Christian, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1124063599
1009 LARK ST SUITE 2
Johnson City, TN 37604
(423) 283-0776
✔ Accepts Medicare1.3 mi
Diana Riffe, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1528381159
1009 LARK ST SUITE 2
Johnson City, TN 37604
(423) 283-0776
✔ Accepts Medicare1.3 mi
Dustin Roberts, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225450539
1009 LARK ST ANESTHESIA PAIN CONSULTANTS
Johnson City, TN 37604
(423) 283-0776
✔ Accepts Medicare1.3 mi
Courtney Briggs, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1356853352
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ Accepts Medicare1.3 mi
Cynthia Burke, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689649675
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ Accepts Medicare1.3 mi
Ashley Cassell, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902317506
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ Accepts Medicare1.3 mi
Michelle Couper, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043758154
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ Accepts Medicare1.3 mi
Ian Darling, M.D.
Anesthesiology
NPI 1750389540
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ PECOS✔ Accepts Medicare1.3 mi
Seth Lesch, DO
Anesthesiology
NPI 1366708695
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ PECOS✔ Accepts Medicare1.3 mi
Joe Mcveigh, M.D.
Anesthesiology
NPI 1992704282
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ PECOS✔ Accepts Medicare1.3 mi
Leroy Osborne, DO
Anesthesiology
NPI 1316010614
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ PECOS✔ Accepts Medicare1.3 mi
Wayne Smith, MD
Anesthesiology
NPI 1831370493
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ PECOS✔ Accepts Medicare1.3 mi
Reinaldo Torres-Guillont, M.D.
Anesthesiology
NPI 1558360917
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ PECOS✔ Accepts Medicare1.3 mi
Helen Wilson, MD
Anesthesiology
NPI 1619119054
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ PECOS✔ Accepts Medicare1.3 mi
Helen Wright, MD
Anesthesiology
NPI 1487796900
1009 NOVUS DR STE 2
Johnson City, TN 37604
(423) 283-0776
✔ PECOS✔ Accepts Medicare1.3 mi
See all 294 clinicians

Source: 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 Waiver 44D0964457

East Tennessee Ambulatory Surgery Center · Johnson City, TN
Active · expires Aug 25, 2027
CLIA Number44D0964457
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorJim N. Brantner
Laboratory Phone(423) 610-3602
Laboratory LocationEast Tennessee Ambulatory Surgery Center701 Med-Tech Parkway Suite 100, Johnson City, TN 37604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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 of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
66 services23 patients
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633
This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.
46 services23 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.
40 services40 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
33 services29 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.
31 services31 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
27 services12 patients

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 East Tennessee Ambulatory Surgery Center LLC's NPI number?

The NPI number for East Tennessee Ambulatory Surgery Center LLC is 1659360071. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is East Tennessee Ambulatory Surgery Center LLC located?

East Tennessee Ambulatory Surgery Center LLC is located at 701 Med Tech Pkwy, Johnson City, TN 37604. The listed phone number is (423) 283-7302.

What is East Tennessee Ambulatory Surgery Center LLC's specialty?

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

Is East Tennessee Ambulatory Surgery Center LLC enrolled in Medicare?

Yes. East Tennessee Ambulatory Surgery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Tennessee Ambulatory Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 294 clinicians in 2 Medicare specialties reassign their Medicare billing to East Tennessee Ambulatory Surgery Center LLC. 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 Certified Registered Nurse Anesthetist (CRNA) (226) and Anesthesiology (68). Of these, 3 practice at this address and 54 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Tennessee Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0964457) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Tennessee Ambulatory Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list East Tennessee 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 East Tennessee Ambulatory Surgery Center LLC was last updated on April 20, 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.