DR. WESLEY V EASTRIDGE (MD) – Family Medicine Physician, NPI 1457313439

Family Medicine Physician

DR. WESLEY V EASTRIDGE (MD) is a healthcare provider. based in Kingsport, Tennessee. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 0101037010 (VA). The NPI Number for DR. WESLEY V EASTRIDGE (MD) is 1457313439

Main info

Male

43 Years Of Experience

Accepts Medicare Assignment

Name

DR. WESLEY V EASTRIDGE (MD)

NPI

1457313439

Phone

(423) 502-8656

Address

1233 RADCLIFFE AVE

Enumeration Date

5 April 2006

Last Update Date

21 September 2023

Doctor Profile

Medical School Name

EMORY UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

Graduation Year

1983 (43 years ago)

PAC ID

5799689873

Group Practice PAC ID

5890699961

Professional Enrollment ID

I20050103000884

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. WESLEY V EASTRIDGE (MD)

1233 RADCLIFFE AVE
KINGSPORT, TN 376642027
Phone: (423) 502-8656
Type: Mailing
PO BOX 3889
JOHNSON CITY, TN 376023889
Phone: (276) 386-3411
Fax: (276) 386-3492
Type: Mailing
390, Kane Street, Jayne Mill, Gate City, Scott County, Virginia, 24251, United States
P O BOX 219
GATE CITY, VA 242513407
Phone: (276) 386-3411
Fax: (276) 386-3492
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20050103000884	I	Family Practice	TN	TBD
I20100927000173	I	Family Practice	VA	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37664)

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Provider's Procedures

DR. WESLEY V EASTRIDGE (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
FAMILY MEDICINE	VA	82270	Stool analysis for blood to screen for colon tumors	21	21
FAMILY MEDICINE	VA	83036	Hemoglobin A1C level	253	112

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5890699961View full group profile

Name	Specialty	State
DR. RICHARD L BRANDON (MD)	-	TN
DR. ROGER W ARCHER (DO)	-	TN
DR. ANDY DELWADIA (MD)	-	TN
DR. GREGORY L DEMOTTS (MD)	-	TN
KATELYN BERMAN (NP)	-	TN

Reviews

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Frequently asked questions

How do I look up DR. WESLEY V EASTRIDGE (MD) by NPI?

Use NPI 1457313439 when you need to reference DR. WESLEY V EASTRIDGE (MD) in forms, claims, or directories.

Is DR. WESLEY V EASTRIDGE (MD) currently active in the NPI registry?

CMS-published data lists DR. WESLEY V EASTRIDGE (MD) as an active registrant.

Can you summarize DR. WESLEY V EASTRIDGE (MD)'s specialty in plain language?

Clinically, the directory lists DR. WESLEY V EASTRIDGE (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.

Where is DR. WESLEY V EASTRIDGE (MD)'s primary listing?

We display Kingsport, Tennessee because that is what the record indicates for DR. WESLEY V EASTRIDGE (MD).

Is DR. WESLEY V EASTRIDGE (MD) a real provider?

This page reflects official NPPES data for NPI 1457313439. Always confirm identity and privileges with the practice and licensing boards.