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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: August 09, 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 from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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.

Other Providers at the Same Location NPPES 7

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

DR. MARK ELLSWORTH KLEINMAN M.D.
Ophthalmology (Retina Specialist)
2412 N JOHN B DENNIS HWY
KINGSPORT, TN 37660
Sullivan County (423) 578-4364
MICHAEL ALLEN MAGEE M.D.
Ophthalmology (Retina Specialist)
2412 N JOHN B DENNIS HWY
KINGSPORT, TN 37660
Sullivan County (423) 578-4364
DR. CLAXTON ALLEN BAER M.D.
Ophthalmology
2412 N JOHN B DENNIS HWY
KINGSPORT, TN 37660
Sullivan County (865) 338-5432
DR. CRISTOFORO LARZO M.D.
Ophthalmology (Retina Specialist)
2412 N JOHN B DENNIS HWY
KINGSPORT, TN 37660
Sullivan County (423) 578-4364
DR. JOSEPH MICHAEL GUNN M.D.
Ophthalmology (Retina Specialist)
2412 N JOHN B DENNIS HWY
KINGSPORT, TN 37660
Sullivan County (423) 578-4364
DR. DAVID ALLAN COUCH M.D.
Ophthalmology (Retina Specialist)
2412 N JOHN B DENNIS HWY
KINGSPORT, TN 37660
Sullivan County (423) 578-4364
DR. HOWARD LEE CUMMINGS M.D.
Ophthalmology (Retina Specialist)
2412 N JOHN B DENNIS HWY
KINGSPORT, TN 37660
Sullivan County (423) 578-4364

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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina 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 9 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.