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Surgical Associates of Kingsport, Inc

Surgery Physician in Kingsport, TN · enumerated 2006 · authorized official Lisa Mullins, Practice Administrator.

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

National Provider Identifier

1609806389

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Registry record

Entity type Organization (Type 2)
Legal business name Surgical Associates of Kingsport, Inc
Practice address 444 Clinchfield Street, Suite 2900, Kingsport, TN, 37660
Phone (723) 245-6101
Fax (423) 245-2396
Enumeration date Jul 5, 2006
Last updated in NPPES Jul 31, 2015

Taxonomy & classification

2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary
2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086X0206X Surgical Oncology Physician Allopathic & Osteopathic Physicians Secondary
208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Lisa Mullins
Title Practice Administrator
Phone (423) 245-6101

Other identifiers

Identifier Type State Issuer
20009693 Other - RAILROAD MEDICARE GROUP #
2007130 Other TN BCBS TENNESSEE GROUP #

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-07-31. Verify at npiregistry.cms.hhs.gov.
Where is Surgical Associates of Kingsport, Inc located?
The practice location on file with NPPES is in Kingsport, TN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-31.