Williams Primary Care of Tri-Cities, LLC
NPI 1053825075ActiveOrganization· Nurse Practitioner, Primary Care· Kingsport, TN
Nurse Practitioner, Primary Care in Kingsport, Tennessee, registered in NPPES in November 2017. The authorized official on file is Penny Williams-Cordeiro, NP, Owner.
Overview
| NPI | 1053825075 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2017 |
| Last updated in NPPES | Nov 29, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | BC18066 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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