SUSAN WATTS JEANSONNE MD
NPI 1114913365
Emergency Medicine in Kingsport,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 23, 2005

Contact Information

2002 Brookside Dr
Kingsport,
Post Code: 37660
Phone: (423) 224-3933
Fax: (423) 224-3934

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Susan Watts Jeansonne Md in Kingsport - Emergency Medicine

Susan Watts Jeansonne Md is a Emergency Medicine in Kingsport, . Susan Watts Jeansonne Md practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Susan Watts Jeansonne Md is 1114913365. The last update date is 2017-02-10.

Susan Watts Jeansonne Md's current location address is 2002 Brookside Dr, Kingsport, . You can contact this provider via phone number (423) 224-3933 and fax number (423) 224-3934. The mailing address for Susan Watts Jeansonne Md is 2002 Brookside Dr, Kingsport, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114913365
Provider Name
SUSAN WATTS JEANSONNE MD
Gender
Female
Entity Type
Individual
Location Address
2002 Brookside Dr, Kingsport,
Location Phone
(423) 224-3933
Location Fax
(423) 224-3934
Mailing Address
2002 Brookside Dr, Kingsport, Tennessee(TN)
Mailing Phone
423-224-3933
Mailing Fax
423-224-3934
Enumeration Date
2005-09-23
Last Update Date
2017-02-10
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
-
License No.
40530
License State
Tennessee (TN)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207P00000X Emergency Medicine Physician

Emergency Medicine

40530 (Tennessee)
2 208000000X Pediatrics Physician

Pediatrics

MD025360 (Louisiana)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1114913365 MEDICAID (05) Virginia (VA)
1508394 MEDICAID (05) Tennessee (TN)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114913365
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241816312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21241816312
2 + 1 + 2 + 4 + 1 + 8 + 1 + 6 + 3 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1114913365 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114913357 DEREK PRICE
Individual
Nurse Anesthetist, Certified Registered 110 29TH AVE N
NASHVILLE, Tennessee (TN)
1114912904 CRAIG PAUL MOORHOUSE
Individual
Specialist 220 ALFALFA LN
JONESBOROUGH, Tennessee (TN)
423-202-2355
1114912656 ROGER GRADY BURRUS
Individual
Specialist 323 STEAM PLANT RD
GALLATIN, Tennessee (TN)
615-452-1060
1114912516 DAVID E HILL
Individual
Specialist 2100 W CLINCH AVE
KNOXVILLE, Tennessee (TN)
865-637-7290
1114912433 NEPHROLOGY ASSOCIATES OF KNOXVILLE, PC
UNIVERSITY NEPHROLOGY
Organization
Internal Medicine, Nephrology 1932 ALCOA HWY
KNOXVILLE, Tennessee (TN)
865-546-9246