Kelly J. Cassedy, M.D.
Diagnostic Radiology Physician · Kingsport, TN
Kelly J. Cassedy, M.D. is a diagnostic radiology physician with a practice address in Kingsport, Tennessee, and NPI 1639170178, issued on Aug 9, 2005. Check the license (Tennessee 23468, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Kelly J. Cassedy
- Credential
- M.D.
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License number
- 23468 TN
Self-reported in NPPES; status is on the state search - Practice location
- 130 W Ravine RD, Kingsport, TN 37660
- Phone
- (423) 968-1144
- Enumerated
- Aug 9, 2005
- Record last updated
- Jul 11, 2023
- Fax
- (423) 968-3453
- Medicaid IDs
- 7213425 VA
3070168 TN
64927528 KY
0218543000 WV - Medicare enrollment
- Enrolled (PECOS I20050831000954); accepts Medicare assignment
- Medical or professional school
- University Of Cincinnati College Of Medicine, 1987
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 968 in Tennessee → Look up another NPI →
Also registered at 130 W Ravine RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Mariam Alawoki, M.D.Pulmonary Disease Physician1487017869
- Miranda AlleyFamily Nurse Practitioner1669048294
- Lindsi Anderson, PTAPhysical Therapy Assistant1649497983
- Holly Appleberry, DO, MBANeurology Physician1710410741
Verify Kelly J. Cassedy in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license 23468Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Blue Ridge Radiology PCBristol, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly J. Cassedy among 968 diagnostic radiology physician records in Tennessee
Kelly J. Cassedy, M.D. is one of 968 diagnostic radiology physician records with a practice address in Tennessee. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 81% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated1987 · median 2004 among the 657 with a school on file
- Record last updated2023 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
23 diagnostic radiology physician records list a practice address in Kingsport
They are 23 of the 1,986 NPPES records with a practice address in Kingsport, and 968 diagnostic radiology physician records in Tennessee.
All 968 in Tennessee → Every provider in Kingsport → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- John Creasy, M.D.Kingsport, TN 376601124029244
- Terry Fletcher, M.D.Kingsport, TN 376601437143401
- Marvin Lymberis, M.D.Kingsport, TN 376601477530160
- John McMurray, M.D.Kingsport, TN 376601154323038
- Brad Miller, M.D.Kingsport, TN 376601285611798
- James Phillips, M.D.Kingsport, TN 376601790787596
- Thomas Pugh, M.D.Kingsport, TN 376601144222944
- John Siner, M.D.Kingsport, TN 376601487656211
Common questions
What is Kelly J. Cassedy, M.D.'s NPI number?
Kelly J. Cassedy, M.D.'s National Provider Identifier (NPI) is 1639170178, issued on Aug 9, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kelly J. Cassedy, M.D. located?
The NPPES record lists a practice address at 130 W Ravine RD, Kingsport, TN, 37660. Phone: (423) 968-1144. Providers update this record themselves, so call before visiting.
How can I verify Kelly J. Cassedy, M.D.'s license?
NPPES lists Tennessee license number 23468, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.