KINGSPORT AMBULATORY SURGERY CTR
KINGSPORT AMBULATORY SURGERY CTR is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1053404574, based in Kingsport, TN. It is classified under Ambulatory Surgical Clinic/Center.
Getting there
The practice address on file is 2204 PAVILION DRIVE SUITE 300, Kingsport, TN 37660. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0000000113 | TN | Ambulatory Surgical Clinic/Center primary |
This provider holds licence 0000000113 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Ambulatory Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QA1903X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1053404574 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 2, 2006 |
| Last updated | Jan 14, 2020 |
| Status | Active |
| Practice address |
2204 PAVILION DRIVE SUITE 300 Kingsport, TN 37660 (423) 857-6300 Fax (423) 857-6324 |
| Mailing address |
14201 DALLAS PKWY Dallas, TX 75254 |
| Other identifiers |
100032523
· PHP 170411602 (TX) 36001311 (KY) A3766000 · JOHN DEERE 227545 · ANTHEM 3148953 · BLUE CROSS 007603177 (VA) 091618800 (FL) 3288120 (TN) 7254600 · CIGNA |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 4 | 0 | 4 | 5 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 8 | 0 | 8 | 5 | 5 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.