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SOUTHEASTERN RETINA ASSOCIATES, P.C.
NPI 1932370145
Ophthalmology - Retina Specialist in Kingsport, TN

Active since March 14, 2008CLIA 49D2321393 · Waiver
2412 N JOHN B DENNIS HWY, KINGSPORT, TN 37660(423) 578-4364(423) 578-4372 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 18, 2021, Oct 15, 2020 (2 updates tracked since 2020).

About Southeastern Retina Associates, P.c. NPPES

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

SOUTHEASTERN RETINA ASSOCIATES, P.C. (NPI 1932370145) is a healthcare organization registered as a retina specialist in Kingsport, Tennessee and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Andrew Laverghetta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932370145
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameSOUTHEASTERN RETINA ASSOCIATES, P.C.
Location Address2412 N JOHN B DENNIS HWYKingsport, TN 37660-4772
Mailing Address9050 Executive Park Dr Ste 202aKnoxville, TN 37923-4670
Phone(423) 578-4364
Fax(423) 578-4372
Organization SubpartNo
Authorized OfficialAndrew LaverghettaCeo · (865) 588-0811
Enumeration DateMarch 14, 2008
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1932370145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X
2412 N JOHN B DENNIS HWY, Kingsport, TN 37660
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Other Identifiers 4

Medicaid3715424TN
OtherCD7808TN · Railroad Medicare
Medicaid89011K5NC
OtherCG2897VA · Railroad

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeastern Retina Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Southeastern Retina Associates, P.C., which bills Medicare for the services they deliver. Of these, 7 practice at this address. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 22
Claxton Baer, M.D.
Ophthalmology
NPI 1144255100
2412 N JOHN B DENNIS HWY
Kingsport, TN 37660
(865) 338-5432
✔ PECOS✔ Accepts MedicareSame address
David Couch, M.D.
Ophthalmology
NPI 1659377679
2412 N JOHN B DENNIS HWY
Kingsport, TN 37660
(423) 578-4364
✔ PECOS✔ Accepts MedicareSame address
Howard Cummings, M.D.
Ophthalmology
NPI 1669478996
2412 N JOHN B DENNIS HWY
Kingsport, TN 37660
(423) 578-4364
✔ PECOS✔ Accepts MedicareSame address
Joseph Gunn, M.D.
Ophthalmology
NPI 1316943640
2412 N JOHN B DENNIS HWY
Kingsport, TN 37660
(423) 578-4364
✔ PECOS✔ Accepts MedicareSame address
Mark Kleinman, M.D.
Ophthalmology
NPI 1063676310
2412 N JOHN B DENNIS HWY
Kingsport, TN 37660
(423) 578-4364
✔ PECOS✔ Accepts MedicareSame address
Cristoforo Larzo, M.D.
Ophthalmology
NPI 1205803285
2412 N JOHN B DENNIS HWY
Kingsport, TN 37660
(423) 578-4364
✔ PECOS✔ Accepts MedicareSame address
Michael Magee, M.D.
Ophthalmology
NPI 1134120868
2412 N JOHN B DENNIS HWY
Kingsport, TN 37660
(423) 578-4364
✔ PECOS✔ Accepts MedicareSame address
Tod Mcmillan, M.D.
Ophthalmology
NPI 1023014347
1124 E WEISGARBER RD STE 207
Knoxville, TN 37909
(865) 588-0811
✔ PECOS✔ Accepts Medicare96 mi
Scott Barb, M.D.
Ophthalmology
NPI 1609137595
1342 OLD WEISGARBER RD
Knoxville, TN 37909
(865) 588-0811
✔ PECOS✔ Accepts Medicare96 mi
Nicholas Anderson, M.D.
Ophthalmology
NPI 1972509297
1342 OLD WEISGARBER RD
Knoxville, TN 37909
(865) 588-0811
✔ PECOS✔ Accepts Medicare96 mi
Jacob Cox, MD, MPHIL
Ophthalmology
NPI 1811387061
1342 OLD WEISGARBER RD
Knoxville, TN 37909
(865) 588-0811
✔ PECOS✔ Accepts Medicare96 mi
Jonathan Fuerst, M.D.
Ophthalmology
NPI 1811421555
1342 OLD WEISGARBER RD
Knoxville, TN 37909
(865) 588-0811
✔ PECOS✔ Accepts Medicare96 mi
Ailee Laham, M.D.
Ophthalmology
NPI 1477791143
1342 OLD WEISGARBER RD
Knoxville, TN 37909
(865) 588-0811
✔ PECOS✔ Accepts Medicare96 mi
James Miller, M.D.
Ophthalmology
NPI 1710983721
1342 OLD WEISGARBER RD
Knoxville, TN 37909
(865) 588-0811
✔ PECOS✔ Accepts Medicare96 mi
Stephen Perkins, M.D.
Ophthalmology
NPI 1427054436
1342 OLD WEISGARBER RD
Knoxville, TN 37909
(865) 588-0811
✔ PECOS✔ Accepts Medicare96 mi
Robert Shuler, MD
Ophthalmology
NPI 1376644476
1342 OLD WEISGARBER RD
Knoxville, TN 37909
(865) 588-0811
✔ PECOS✔ Accepts Medicare96 mi
Sophie Cai, MD
Ophthalmology
NPI 1275914699
1961 NORTHPOINT BLVD # 11
Hixson, TN 37343
(423) 756-1002
✔ PECOS✔ Accepts Medicare184 mi
Francis Decroos, M.D.
Ophthalmology
NPI 1871627554
1961 NORTHPOINT BLVD STE 110
Hixson, TN 37343
(423) 756-1002
✔ PECOS✔ Accepts Medicare184 mi
Devon Ghodasra, M.D.
Ophthalmology
NPI 1619298262
1961 NORTHPOINT BLVD STE 110
Hixson, TN 37343
(423) 756-1002
✔ PECOS✔ Accepts Medicare184 mi
Asghar Haider, MD
Ophthalmology
NPI 1801271457
1961 NORTHPOINT BLVD STE 110
Hixson, TN 37343
(423) 756-1002
✔ PECOS✔ Accepts Medicare184 mi
See all 22 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 49D2321393

Southeastern Retina Associates PC · Bristol, VA
Active · expires Apr 2, 2027
CLIA Number49D2321393
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorMark E. Kleinman
Laboratory Phone(423) 578-4364
Laboratory LocationSoutheastern Retina Associates PC109 Gate City Highway, Bristol, VA 24201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Southeastern Retina Associates, P.C.'s NPI number?

The NPI number for Southeastern Retina Associates, P.C. is 1932370145. It was assigned to this organization in the NPPES registry on March 14, 2008.

Where is Southeastern Retina Associates, P.C. located?

Southeastern Retina Associates, P.C. is located at 2412 N John B Dennis Hwy, Kingsport, TN 37660. The listed phone number is (423) 578-4364.

What is Southeastern Retina Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Southeastern Retina Associates, P.C. enrolled in Medicare?

Yes. Southeastern Retina Associates, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Retina Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians, all in Ophthalmology, reassign their Medicare billing to Southeastern Retina Associates, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southeastern Retina Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2321393) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeastern Retina Associates, P.C. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Southeastern Retina Associates, P.C. 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 Southeastern Retina Associates, P.C. was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.