OrganizationActive
Tri-State Telemed LLC
NPI 1093180903 · General Practice Physician · South Point, OH
Provider details
- NPI number
- 1093180903
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Maxey, Medical Director(304) 208-5978
- License
- 1121101 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
178 Private Road 19423
South Point, OH 45680-8831
Phone: (304) 208-5978
Street-level locationGet directions
Mailing address
620 Private Road 19423
South Point, OH 45680-9019
Registry dates
- Enumerated
- 2015-12-02
- Last updated
- 2015-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.