CENTENNIAL PHYSICIAN SERVICES, PC
NPI 1871436022
Internal Medicine in Kingsport, TN
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
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centennial Physician Services, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Centennial Physician Services, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 23Johnson City, TN 37604
Johnson City, TN 37604
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 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.
Is Centennial Physician Services, PC enrolled in Medicare?
Yes. Centennial Physician Services, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centennial Physician Services, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 5 Medicare specialties reassign their Medicare billing to Centennial Physician Services, 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. The largest specialties are Internal Medicine (13), Nurse Practitioner (6) and Family Practice (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 6 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.
# Centennial Physician Services, Pc · NPI 1871436022
Internal Medicine organization in Kingsport, Tennessee. Organization record, active in the CMS NPPES registry since April 13, 2026.
## Identity
- **NPI:** 1871436022 (Entity type: Organization)
- **Enumerated:** April 13, 2026
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Kenneth Heinrich, PRESIDENT/OWNER
## Practice location
- **Address:** 130 W RAVINE RD, Kingsport, TN 37660-3831
- **Phone:** (423) 224-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (13), Nurse Practitioner (6), Family Practice (2); 1 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1871436022/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871436022) · Data from the CMS NPPES public registry.