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

Jayson Vittori

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912130030

Jayson Vittori is a Diagnostic Radiology in Kingsport, Tennessee. Qualified in 2009, 17 years ago. Practices with Blue Ridge Radiology PC, a 79-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut and Tennessee.

Years since qualifying
17
Licensed in
CT, TN
In the registry since
2009
Specialties on file
3
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Practice location Address checks out

130 W Ravine Rd
Kingsport, TN 37660
Phone: (423) 968-1144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 20 York St, New Haven, CT 06510-3220 — (203) 688-8811
  • 20 York St, New Haven, CT 06510-3220 — (203) 688-8811

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 52709 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 052750 (CT)

Record details

NPI number1912130030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2009
Last updated in NPPESOctober 26, 2018
Mailing address3053 W State St, Bristol, TN 37620-1720

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Blue Ridge Radiology Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kingsport