Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kelly J. Cassedy, M.D.

Diagnostic Radiology Physician in Kingsport, TN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639170178

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Registry record

Entity type Individual (Type 1)

Name Kelly J. Cassedy

Credential M.D.

Sex Male

Practice address 130 W Ravine Rd, Kingsport, TN, 37660

Phone (423) 968-1144

Fax (423) 968-3453

Enumeration date Aug 9, 2005

Last updated in NPPES Jul 11, 2023

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 23468 (TN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
3058511	Other	TN	BCBS
7213425	Medicaid	VA	-
RO6903	Other	TN	JOHN DEERE
3070168	Medicaid	TN	-
64927528	Medicaid	KY	-
300066625	Other	-	PGBA (RR MEDICARE)
0218543000	Medicaid	WV	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Kelly Cassedy's NPI record?

Cross-check NPI 1639170178 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1639170178 active?

Yes, as of the latest NPPES snapshot, NPI 1639170178 is active (record last updated 2023-07-11).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-11.