Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum
Kingsport Ambulatory Surgery Ctr
Ambulatory Surgical Clinic/Center in Kingsport, TN · enumerated 2006 · authorized official Jenetha Moran, Officer/Authorized Official.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1053404574
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Registry record
Taxonomy & classification
Authorized official
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100032523 | Other | - | PHP |
| 170411602 | Medicaid | TX | - |
| 36001311 | Medicaid | KY | - |
| A3766000 | Other | - | JOHN DEERE |
| 227545 | Other | - | ANTHEM |
| 3148953 | Other | - | BLUE CROSS |
| 007603177 | Medicaid | VA | - |
| 091618800 | Medicaid | FL | - |
| 3288120 | Medicaid | TN | - |
| 7254600 | Other | - | CIGNA |
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.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Kingsport Ambulatory Surgery Ctr?
Providers at this address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-14.