Look up the most recent NPI and PECOS records

Christopher Galletti

Family Medicine

Allopathic & Osteopathic Physicians

102 E Ravine Rd, Kingsport, TN 37660-3814

PECOS Enrollment

Based on the most recent information from CMS, provider Christopher Galletti is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1669030904
Provider Type
Individual
Full Name
Galletti, Christopher
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/2/2019
Last Updated
1/17/2024

Contact Information

Practice Location

102 E Ravine Rd, Kingsport, TN 37660-3814

(423) 245-9600

Unlisted Fax

Mailing Location

102 E Ravine Rd, Kingsport, TN 37660-3814

(423) 245-9600

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 65514 Tennessee
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License ME147179 Florida

Provider Identifiers

ID	Description	Issuer
ID 108617500	Description Medicaid	Issuer Unlisted Florida
ID Q075292	Description Medicaid	Issuer Unlisted Tennessee

Christopher Galletti

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Shah, Aruna

Rajoo, Shari K

Peters-Diamond, Jennifer Carlita

Doran, Aaron M

Lee, Robert

Brummel, Mark

Miranda, Renee May Sayson

Windes, Lois

Jenkins, Rebecca A

Reiff, Deborah