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Tri-State Telemed LLC

General Practice Physician in South Point, OH · enumerated 2015 · authorized official Shannon Maxey, Medical Director.

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

National Provider Identifier

1093180903

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Registry record

Entity type Organization (Type 2)
Legal business name Tri-State Telemed LLC
Practice address 178 Private Road 19423, South Point, OH, 45680
Enumeration date Dec 2, 2015
Last updated in NPPES Dec 2, 2015

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 48537 (KY) Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 1121101 (KY) Secondary

Authorized official

Name Shannon Maxey
Title Medical Director

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.

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Frequently asked questions

Who is the authorized official for Tri-State Telemed LLC?
NPPES lists Shannon Maxey (Medical Director) as the authorized official for this organization.
What is the NPI number for Tri-State Telemed LLC?
The NPI for Tri-State Telemed LLC is 1093180903, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-02.