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CENTENNIAL PHYSICIAN SERVICES, PC
NPI 1871436022
Internal Medicine in Kingsport, TN

Active since April 13, 2026
130 W RAVINE RD, KINGSPORT, TN 37660(423) 224-4000 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centennial Physician Services, Pc NPPES

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

CENTENNIAL PHYSICIAN SERVICES, PC (NPI 1871436022) is a healthcare organization registered as an internal medicine in Kingsport, Tennessee and active in the NPI registry since April 2026. The organization lists Kenneth Heinrich, President/owner, as its authorized official.

NPPES Registry Identity

NPI1871436022
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTENNIAL PHYSICIAN SERVICES, PC
Location Address130 W RAVINE RDKingsport, TN 37660-3831
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(423) 224-4000
Organization SubpartNo
Authorized OfficialKenneth HeinrichPresident/owner · (337) 609-1221
Enumeration DateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1871436022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
130 W RAVINE RD, Kingsport, TN 37660
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

CLAIRE ELLIOTT PHARMD
Pharmacist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
WPS PROVIDERS INC
General Practice
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
JAMES ROBERT BECK PHARMACIST
Pharmacist
130 W RAVINE RD, WELLMONT OUTPATIENT PHARMACY
KINGSPORT, TN 37660
Sullivan County (423) 224-6860
MRS. REKHA S GUPTA OTR
Occupational Therapist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-5535
MRS. STACEY ANN RYDER CRNA
Nurse Anesthetist, Certified Registered
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
DR. HETVI KIRITKUMAR JOSHI M.D.
Hospitalist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-3628
SHERRY LYNN GOODE NP
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-3628
PATRINA NICOLYN CRADIC FNP-C
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000

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 Centennial Physician Services, PC's NPI number?

The NPI number for Centennial Physician Services, PC is 1871436022. It was assigned to this organization in the NPPES registry on April 13, 2026.

Where is Centennial Physician Services, PC located?

Centennial Physician Services, PC is located at 130 W Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 224-4000.

What is Centennial Physician Services, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Centennial Physician Services, PC was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.