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

Tri-State Telemed LLC

Organization General Practice Physician · NPI 1093180903

Tri-State Telemed LLC is a General Practice Physician in South Point, Ohio. Licensed in Kentucky. Registered with an NPI since 2015.

Licensed in
KY
In the registry since
2015
Specialties on file
2
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

178 Private Road 19423
South Point, OH 45680-8831
Phone: (304) 208-5978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 48537 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 1121101 (KY)

Record details

NPI number1093180903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Maxey — Medical Director · (304) 208-5978
NPI enumeratedDecember 2, 2015
Last updated in NPPESDecember 2, 2015
Mailing address620 Private Road 19423, South Point, OH 45680-9019