Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri-Cities Gastroenterology LLC

Organization Gastroenterology Physician · NPI 1083639918

Tri-Cities Gastroenterology LLC is a Gastroenterology Physician in Kingsport, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10461 Wallace Alley St
Kingsport, TN 37663-3936
Phone: (423) 279-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1083639918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Merritt — Practice Administrator · (423) 279-1414
NPI enumeratedJuly 13, 2006
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address10461 Wallace Alley St, Kingsport, TN 37663-3936

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