Sidney W Collins Jr. (NPI# 1083624365, PAC ID# 9032115654) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1083624365 |
| PAC ID by PECOS | 9032115654 |
| Professional Enrollment ID | I20061004000538 |
| Full Name | Sidney W Collins Jr. |
| Organization Legal Name | LEGACY VEIN CENTER PLLC |
| Address |
444 Clinchfield St Suite 2811 Kingsport TN 37660-3858 |
| Phone Number | 4233280163 |
| Gender | M |
| Credential | MD |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2264727627 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Park Blvd, Bristol, TN 37620-7430 | 4238446620 | BRISTOL SURGICAL ASSOCIATES PC |
| 444 Clinchfield St, Suite 2811, Kingsport, TN 37660-3858 | 4233280163 | LEGACY VEIN CENTER PLLC |
| Organization Legal Name | LEGACY VEIN CENTER PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Nowak | Nurse Practitioner | Legacy Vein Center Pllc | 310 N State of Franklin Rd, Suite 103, Johnson City, TN 37604-6063 |
| Megan Elizabeth Johnson | Nurse Practitioner | Legacy Vein Center Pllc | 1450 Dowell Springs Blvd, Suite 110, Knoxville, TN 37909-2443 |
| Randall Douglas Towne | Cardiovascular Disease (cardiology) | Legacy Vein Center Pllc | 310 N State of Franklin Rd, Suite 103, Johnson City, TN 37604-6063 |
| Elizabeth A Reed | Physician Assistant | Legacy Vein Center Pllc | 310 N State of Franklin Rd, Suite 103, Johnson City, TN 37604-6063 |
| Melanie R Harrison | Physician Assistant | Legacy Vein Center Pllc | 310 N State of Franklin Rd, Suite 102, Johnson City, TN 37604-6063 |
| Diana Marie Anderson | Physician Assistant | Legacy Vein Center Pllc | 310 N State of Franklin Rd, Suite 102, Johnson City, TN 37604-6063 |
| Street Address |
444 CLINCHFIELD ST SUITE 2811 |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-3858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Baker | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Zachary Linuel Sumpter | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Aaron K Metcalf | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Andrew P Kramer | General Surgery | Wps Providers Inc | 444 Clinchfield St, Suite 2900, Kingsport, TN 37660-3858 |
| Richard L Brandon | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Kingsport, TN 37660-3858 |
| Kevin D Misischia | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Gregory Corradino | Neurosurgery | Blue Ridge Medical Management Corporation | 444 Clinchfield St, Suite 103, Kingsport, TN 37660-3859 |
| Elizabeth M. Jackson | General Surgery | Wps Providers Inc | 444 Clinchfield St, Suite 2900, Kingsport, TN 37660-3858 |
| Stephanie A Hart | General Surgery | Wps Providers Inc | 444 Clinchfield St, Suite 2900, Kingsport, TN 37660-3858 |
| Kelly S Oggero | General Surgery | Wps Providers Inc | 444 Clinchfield St, Suite 2900, Kingsport, TN 37660-3858 |
| 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 | GENERAL SURGERY |
| City + Specialty | KINGSPORT + GENERAL SURGERY |
Please comment or provide details below to improve the information on Sidney W Collins Jr..
| 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.