Watauga Orthopaedics, PLC
NPI 1104125210 · Durable Medical Equipment & Medical Supplies · Kingsport, TN
Enrolled with Medicare as Dme Supplier - Physician - Orthopedic/Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104125210
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Christy Harris, Billing Manager(423) 282-9582
Specialties & taxonomies
Suppliers
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Suppliers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Other names (DBA / former)
- Other name
- Watauga Orthopaedics of Kingsport
- Other name
- Watauga Orthopaedics of Kingsport
Registry dates
- Enumerated
- 2011-03-16
- Last updated
- 2024-06-26
- Certified
- 2024-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.