ENDOSCOPY CENTER OF KINGSPORT NPI 1235140385

NPI Information

  • NPI: 1235140385
  • Provider Name: ENDOSCOPY CENTER OF KINGSPORT
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • Doing Business As: SULLIVAN DIGESTIVE CENTER
  • CLIA Number: 44D0885934
  • Address: 2204 PAVILION DR STE 108
    KINGSPORT, TN
    ZIP 37660
  • Phone: (423) 392-6100

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NPI Details

ENDOSCOPY CENTER OF KINGSPORT is an endoscopy clinic center in Kingsport, TN. ENDOSCOPY CENTER OF KINGSPORT NPI is 1235140385. The provider is registered as an organization entity type.
The provider Is Doing Business As Sullivan Digestive Center.

The provider's business location address is:

2204 PAVILION DR STE 108
KINGSPORT, TN
ZIP 37660-651
Phone: (423) 392-6100
Fax: (423) 392-6159

The provider's authorized official is Penny Leigh Lloyd .
The authorized official title is Administrator and has the following contact phone number (423) 392-6100.

The CLIA number assigned to this NPI record is 44D0885934 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Dilation of esophagus (HCPCS:43450)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43270)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)

The enumeration date for this NPI number is 8/11/2006 and was last updated on 11/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0800XClinic/CenterEndoscopy0000000053TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000910OTHERTENNESSEEBLUE CROSS BLUE SHIELD
23287396MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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