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NPISignal

Individual Healthcare Provider

Pedro A Bauza-Feliciano, MD

NPI Record: ActivePsychiatry & Neurology — Psychiatry
NPI1104135128
Kingsport, Tennessee

Provider's NPPES record last updated: January 28, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1104135128
Primary Specialty
Psychiatry & Neurology — Psychiatry
Practice Location
Kingsport, Tennessee
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 11:25 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Psychiatry

    Allopathic & Osteopathic Physicians

    Primary

    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

    Taxonomy code 2084P0800X

Provider-Reported License Information

Psychiatry & Neurology (Colorado)
CDR.0004465
Psychiatry & Neurology (Virginia)
0101280394
Psychiatry & Neurology (Tennessee)
69224
Psychiatry & Neurology (Ohio)
35133831
Psychiatry & Neurology (Pennsylvania)
MD447631
Psychiatry & Neurology (Michigan)
4301104729
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2000 Brookside Dr

Kingsport, Tennessee 37660-4627

Phone: (423) 857-7000

Additional Practice Location

1990 Holton Ave E

Big Stone Gap, Virginia 24219-3350

Phone: (276) 523-3111

Additional Practice Location

300 Med Tech Pkwy

Johnson City, Tennessee 37604-2277

Phone: (423) 302-1000

Additional Practice Location

2017 Jefferson St Sw

Roanoke, Virginia 24014-2419

Phone: (540) 981-8025

Fax: (540) 853-0511

Additional Practice Location

22101 Moross Rd

Detroit, Michigan 48236-2148

Phone: (313) 343-4000

Additional Practice Location

1210 W Saginaw St

Lansing, Michigan 48915-1927

Phone: (517) 362-7700

Additional Practice Location

11600 W 2nd Pl

Lakewood, Colorado 80228-1527

Phone: (720) 321-0000

Fax: (720) 321-4165

Additional Practice Location

1519 Main St

Sneedville, Tennessee 37869-3657

Phone: (423) 733-5000

Additional Practice Location

1420 Tusculum Blvd

Greeneville, Tennessee 37745-4279

Phone: (423) 787-5000

Additional Practice Location

1501 W Elk Ave

Elizabethton, Tennessee 37643-2874

Phone: (423) 542-1300

Additional Practice Location

312 Hospital Dr

Clintwood, Virginia 24228-6786

Phone: (276) 926-0300

Additional Practice Location

58 Carroll Street

Lebanon, Virginia 24266-4510

Phone: (276) 883-8000

Additional Practice Location

245 Medical Park Dr

Marion, Virginia 24354-1100

Phone: (276) 378-1000

Additional Practice Location

16000 Johnston Memorial Dr

Abingdon, Virginia 24211-7664

Phone: (276) 258-1000

Additional Practice Location

851 Locust St

Rogersville, Tennessee 37857-2407

Phone: (423) 921-7000

Additional Practice Location

130 W Ravine Rd

Kingsport, Tennessee 37660-3837

Phone: (423) 224-4000

Additional Practice Location

1 Medical Park Blvd

Bristol, Tennessee 37620-7430

Phone: (423) 844-1121

Additional Practice Location

400 N State of Franklin Rd

Johnson City, Tennessee 37604-6035

Phone: (423) 431-6111

Additional Practice Location

2030 Temple Hill Rd

Erwin, Tennessee 37650-8721

Phone: (423) 743-3141

Additional Practice Location

1901 S Shady St

Mountain City, Tennessee 37683-2021

Phone: (423) 727-1100

Additional Practice Location

1215 E Michigan Ave

Lansing, Michigan 48912-1811

Phone: (517) 364-7700

Record Information

Enumeration Date
September 26, 2010
Provider's NPPES Record Last Updated
January 28, 2026
Certification Date
January 28, 2026
NPISignal NPPES Dataset
August 2026

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