1. Home
  2. Directory
  3. Tennessee
  4. Bristol
  5. Surgery
  6. NPI Profile

BRISTOL SURGICAL ASSOCIATES PC
NPI 1811066947
Surgery in Bristol, TN

Active since November 06, 2006
1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 37620(423) 844-6620(423) 844-6627 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bristol Surgical Associates Pc NPPES

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

BRISTOL SURGICAL ASSOCIATES PC (NPI 1811066947) is a healthcare organization registered as a surgery in Bristol, Tennessee and active in the NPI registry since November 2006. The organization lists Johnna Borders, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811066947
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBRISTOL SURGICAL ASSOCIATES PC
Location Address1 MEDICAL PARK BLVD, 250 WESTBristol, TN 37620-7430
Mailing Address1 Medical Park Blvd, 250 WestBristol, TN 37620-7430 · (423) 844-6620 · Fax (423) 844-6627
Phone(423) 844-6620
Fax(423) 844-6627
Organization SubpartNo
Authorized OfficialJohnna BordersAdministrator · (423) 844-6620
Enumeration DateNovember 6, 2006
Last NPPES UpdateFebruary 18, 2014
✔ NPI 1811066947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1 MEDICAL PARK BLVD, Bristol, TN 37620
Open in Google Maps ↗

Other Identifiers 7

Other0636398TN · Umwa Group
OtherCA8128TN · Railroad Medicare Group
Other022276800TN · Black Lung Group
OtherF03906748TN · Champus Group
Medicare ID-Type Unspecified3386543TN · Medicare Group
Other093410TN · Anthem Bcbs Va Group
Medicaid3386543TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bristol Surgical Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20080116000673Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Bristol Surgical Associates PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Robert Blanton, M.D.
General Surgery
NPI 1104921212
1 MEDICAL PARK BLVD 250 WEST
Bristol, TN 37620
(423) 844-6620
✔ PECOSSame address
David Gwaltney, M.D.
General Surgery
NPI 1538264064
1 MEDICAL PARK BLVD
Bristol, TN 37620
(423) 844-3919
✔ PECOS✔ Accepts MedicareSame address
Eugene Mcclintic, MD
General Surgery
NPI 1508973819
1 MEDICAL PARK BLVD 250 WEST
Bristol, TN 37620
(423) 844-6620
✔ PECOS✔ Accepts MedicareSame address
Jessica Mccracken, D.O.
General Surgery
NPI 1972843563
1 MEDICAL PARK BLVD STE 250W
Bristol, TN 37620
(423) 844-6620
✔ PECOS✔ Accepts MedicareSame address
Benjamin Scharfstein, M.D.
General Surgery
NPI 1497850515
1 MEDICAL PARK BLVD STE 250W
Bristol, TN 37620
(423) 844-6620
✔ PECOS✔ Accepts MedicareSame address
Jake Sides
General Surgery
NPI 1003279662
1 MEDICAL PARK BLVD STE 250W
Bristol, TN 37620
(423) 844-6620
✔ PECOS✔ Accepts MedicareSame address
John Vance, D.O.
General Surgery
NPI 1659639888
1 MEDICAL PARK BLVD STE 250W
Bristol, TN 37620
(423) 844-6620
✔ PECOS✔ Accepts MedicareSame address
Sidney Collins, MD
General Surgery
NPI 1083624365
1 MEDICAL PARK BLVD, 250 WEST
Bristol, TN 37620
(423) 844-6620
✔ PECOS✔ Accepts Medicare4.8 mi
Paige Furrow, M.D.
General Surgery
NPI 1720268667
1 MEDICAL PARK BLVD 250 WEST
Bristol, TN 37620
(423) 844-6620
✔ PECOS✔ Accepts Medicare4.8 mi

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

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 Bristol Surgical Associates PC's NPI number?

The NPI number for Bristol Surgical Associates PC is 1811066947. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Bristol Surgical Associates PC located?

Bristol Surgical Associates PC is located at 1 Medical Park Blvd 250 West, Bristol, TN 37620. The listed phone number is (423) 844-6620.

What is Bristol Surgical Associates PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Bristol Surgical Associates PC enrolled in Medicare?

Yes. Bristol Surgical Associates PC is registered in the Medicare PECOS enrollment system.

When is Bristol Surgical Associates PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bristol Surgical Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in General Surgery, reassign their Medicare billing to Bristol Surgical Associates PC. 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. Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bristol Surgical Associates PC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Bristol Surgical Associates PC 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 Bristol Surgical Associates PC was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.