Adrian Denise Qualls (NPI# 1477942357, PAC ID# 6901123645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1477942357 |
| PAC ID by PECOS | 6901123645 |
| Professional Enrollment ID | I20180919000272 |
| Full Name | Adrian Denise Qualls |
| Organization Legal Name | SULLIVAN AND PTRS |
| Address |
2204 Pavilion Dr Suite 108 Kingsport TN 37660-4651 |
| Phone Number | 4233926100 |
| Gender | F |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890875264 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| 440176 | INDIAN PATH MEDICAL CENTER |
| 440050 | TAKOMA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 | 4233926100 | SULLIVAN AND PTRS |
| Organization Legal Name | SULLIVAN AND PTRS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Jane Hamilton | Nurse Practitioner | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Michael Jude Sullivan | Gastroenterology | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Amanda Beth Campbell | Nurse Practitioner | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Darik S Barger | Nurse Practitioner | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Street Address |
2204 PAVILION DR SUITE 108 |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-4651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne Rice | Certified Registered Nurse Anesthetist (crna) | Tennessee Anesthesiology LLC | 2204 Pavilion Dr, Kingsport, TN 37660-4651 |
| Brent W Barrett | Certified Registered Nurse Anesthetist (crna) | Tennessee Anesthesiology LLC | 2204 Pavilion Dr, Kingsport, TN 37660-4651 |
| Rebecca Jane Hamilton | Nurse Practitioner | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Teanna J Moore | Family Medicine | Blue Ridge Medical Management Corporation | 2204 Pavilion Dr, Suite 310, Kingsport, TN 37660-4653 |
| Michael Jude Sullivan | Gastroenterology | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Holly C Grigsby | General Practice | 2204 Pavilion Dr, Suite 110, Kingsport, TN 37660-4651 | |
| Lawrence Delmore Bailey | Gastroenterology | Holston Medical Group PC | 2204 Pavilion Dr, Suite 115, Kingsport, TN 37660-4651 |
| Amanda Beth Campbell | Nurse Practitioner | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Danny Almond | Physical Therapy | Holston Medical Group PC | 2204 Pavilion Dr, Suite 115, Kingsport, TN 37660-4651 |
| Darik S Barger | Nurse Practitioner | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Find all physicians in zip 37660 | |||
| City | KINGSPORT |
| Zip Code | 37660 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KINGSPORT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Adrian Denise Qualls.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.