Individual ProviderChristopher NegliaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address105 W Stone Dr, Ste 1f, Kingsport, TN 37660-3365(423) 857-2793(423) 857-2066PECOS EnrollmentBased on the most recent information from CMS, provider Christopher Neglia is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1679575963Provider TypeIndividualFull NameNeglia, ChristopherCredentialDOGenderMaleSole ProprietorNoEnumeration Date6/1/2005Last Updated5/20/2014Contact InformationPractice LocationPractice Address105 W Stone Dr, Ste 1f, Kingsport, TN 37660-3365Phone(423) 857-2793Fax(423) 578-5085Mailing LocationMailing AddressPO Box 9, Kingsport, TN 37662-0009Phone(423) 857-2066Fax(423) 857-2070Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseDO1425TennesseeProvider IdentifiersIDDescriptionIssuerID3306923DescriptionMedicaidIssuerUnlistedTennesseeID010100470DescriptionMedicaidIssuerUnlistedVirginia