Endoscopy Center of Kingsport
NPI 1235140385 · Endoscopy Clinic/Center · Kingsport, TN
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Endoscopy Center of Kingsport is a Endoscopy Clinic/Center organization in Kingsport, TN (NPI 1235140385).
Provider details
- NPI number
- 1235140385
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Penny Lloyd, Administrator(423) 392-6100
- License
- 0000000053 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
360 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 166 | $286 |
| Dilation of Esophagus43450 | 91 | $400 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 36 | $411 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 30 | $412 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 26 | $532 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High Risk |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sullivan Digestive Center
- Doing business as
- Sullivan Digestive Center
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2023-11-28
- Certified
- 2023-11-28
Frequently asked questions
- What is Endoscopy Center of Kingsport's NPI number?
- Endoscopy Center of Kingsport's National Provider Identifier (NPI) is 1235140385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Endoscopy Center of Kingsport?
- Endoscopy Center of Kingsport is classified in the NPPES registry as Endoscopy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Endoscopy Center of Kingsport located?
- Endoscopy Center of Kingsport's practice location on file with NPPES is 2204 Pavilion Dr Ste 108, Kingsport, TN 37660-4651.
- What is Endoscopy Center of Kingsport's phone number?
- The practice phone number listed in the NPPES registry for Endoscopy Center of Kingsport is (423) 392-6100.
- Does Endoscopy Center of Kingsport accept Medicare?
- Endoscopy Center of Kingsport is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Endoscopy Center of Kingsport?
- The authorized official listed on Endoscopy Center of Kingsport's NPPES record is Penny Lloyd, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Endoscopy Center of Kingsport's NPI active?
- Yes — Endoscopy Center of Kingsport's NPI (1235140385) is active in the NPPES registry as of the last update on 2023-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.