LESLIE BERRYMAN NP-C
NPI 1780295071
Nurse Practitioner - Family in Kingsport, TN

Q: What is Leslie Berryman's NPI number?

The NPI number for Leslie Berryman is 1780295071. It was assigned to this individual provider in the NPPES registry on August 11, 2020.

Q: What is Leslie Berryman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Berryman was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 11, 2020PECOS Enrolled

1905 AMERICAN WAY, KINGSPORT, TN 37660(423) 578-8451(423) 230-8224 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Leslie Berryman Np-c NPPES

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

LESLIE BERRYMAN NP-C (NPI 1780295071) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (27932) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Abingdon.

NPPES Registry Identity

NPI1780295071

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLESLIE BERRYMANCredential: NP-C

Location Address1905 AMERICAN WAYKingsport, TN 37660-5882

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565

Phone(423) 578-8451

Fax(423) 230-8224

Sole ProprietorNo

Enumeration DateAugust 11, 2020

Last NPPES UpdateSeptember 14, 2023

NPPES CertifiedSeptember 14, 2023

✔ NPI 1780295071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TN · 27932✔ Licensed in VA · 0024180234

1905 AMERICAN WAY, Kingsport, TN 37660

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Secondary Practice Location 1

Location 116000 Johnston Memorial Dr Ste 213Abingdon, VA 24211 · Phone (276) 258-2600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie Berryman Np-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Leslie Berryman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellmont Medical Associates, Inc.

2.4 mi

Internal Medicine

111 W STONE DR, SUITE 110
Kingsport, TN 37660

Reassigned Medicare billing, Tennessee enrollment
861 clinicians in this Medicare group

NPI 1598124398 (423) 224-3701

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

MRS. ALICIA LEEANN PUGH FNP-BC

Nurse Practitioner (Family)