WELLMONT MEDICAL ASSOCIATES, INC. (NPI# 1639537525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639537525 |
| Entity Type | Organization |
| Organization Name | WELLMONT MEDICAL ASSOCIATES, INC. |
| Other Organization Name | BALLAD HEALTH MEDICAL ASSOCIATES |
| Practice Address |
24530 Falcon Place Blvd Suite 100 Abingdon VA 24211-7665 |
| Mailing Address |
105 W Stone Dr Suite 6a Kingsport TN 37660-3365 |
| Practice Telephone | 2766190075 |
| Practice Fax Number | 2766190077 |
| Mailing Telephone | 4234087220 |
| Mailing Fax Number | 4234087405 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | CINDY L HALLFORD (DIRECTOR OF PROFESSIONAL BILLING) |
| Authorized Official Telephone | 4234087220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ballad Health Medical Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 127 Health Care Dr Ste 3, Pennington Gap, VA 242772853 | 2762995060 | 2762995065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386159523 | Wellmont Medical Associates, Inc. | Clinic/Center | 1021 Coolidge St Ste 4, Greeneville, TN 37743-5986 | 2017-12-11 |
| 1558812198 | Wellmont Medical Associates, Inc. | Clinic/Center | 2686 W State St, Bristol, TN 37620-1817 | 2016-10-19 |
| 1144770934 | Wellmont Medical Associates, Inc. | Clinic/Center | 115 Judge Gresham Rd, Suite A, Gray, TN 37615-6213 | 2016-10-05 |
| 1104286194 | Wellmont Medical Associates, Inc. | Clinical Medical Laboratory | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 | 2016-03-03 |
| 1598124398 | Wellmont Medical Associates, Inc. | Clinic/Center | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-02-22 |
| 1770942575 | Wellmont Medical Associates, Inc. | Clinic/Center | 1220 Volunteer Pkwy, Bristol, TN 37620-4628 | 2016-02-22 |
| 1295193183 | Wellmont Medical Associates, Inc. | Clinic/Center | 410 Stagecoach Rd, Bristol, VA 24201-8359 | 2016-02-05 |
| 1154789030 | Wellmont Medical Associates, Inc. | Clinic/Center | 378 Marketplace Dr, Suite 5, Johnson City, TN 37604-2361 | 2016-02-05 |
| 1003274994 | Wellmont Medical Associates, Inc. | Clinic/Center | 601 Commonwealth Dr, Norton, VA 24273-4053 | 2016-02-05 |
| 1447618335 | Wellmont Medical Associates, Inc. | Clinic/Center | 344 Overlook Dr, Lebanon, VA 24266-3436 | 2016-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WELLMONT MEDICAL ASSOCIATES, INC. | 130 W Ravine Rd, Kingsport, TN 37660-3837 |
| Street Address |
24530 FALCON PLACE BLVD SUITE 100 |
| City | ABINGDON |
| State | VA |
| Zip Code | 24211-7665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305609 | Dane Lee | Family Medicine | 24530 Falcon Place Blvd, Abingdon, VA 24211-7657 | 2005-06-10 |
| 1124486626 | Deana J. Duffield | Registered Nurse | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | 2016-01-29 |
| 1548647787 | Judy C Umstott | Nurse Practitioner | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | 2015-04-27 |
| 1215351861 | Bristol Surgical Associates, PC | Surgery | 24530 Falcon Place Blvd, Ste 200, Abingdon, VA 24211-7665 | 2014-02-18 |
| 1003238940 | Jacquelyn Burt | Family Medicine | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | 2014-01-13 |
| 1316368814 | Charise Nadine Battel | Nurse Practitioner | 24530 Falcon Place Blvd, Suite 201, Abingdon, VA 24211-7665 | 2013-12-30 |
| 1376973578 | Barret Blevins | Physical Therapist | 24530 Falcon Place Blvd, Suite 203, Abingdon, VA 24211-7665 | 2013-11-25 |
| 1740563220 | Appalachian Orthopaedic Associates, PC | Orthopaedic Surgery | 24530 Falcon Place Blvd, 2nd Floor Suite 1, Abingdon, VA 24211-7657 | 2011-09-21 |
| 1730488875 | Christina K Hammonds | Nurse Practitioner | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | 2011-03-15 |
| 1104053891 | Kellie Miranda Smith Blackwell | Family Medicine | 24530 Falcon Place Blvd, Suite 201, Abingdon, VA 24211-7657 | 2009-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386087245 | Abingdon Apothecary, Inc. | Pharmacy | 26100 Lee Highway, Abingdon, VA 24211 | 2013-04-10 |
| 1255671152 | Mac's Medical Equipment and Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 26102 Lee Highway, Abingdon, VA 24211 | 2013-03-01 |
| 1316290737 | Falcon Pharmacy | Pharmacy | 795 Cummings Street, Abingdon, VA 24211 | 2012-10-23 |
| 1407027402 | Carla M. Keene, D.d.s. | Dentist | 15189 Porterfield Highway, Abingdon, VA 24211 | 2008-03-18 |
| 1215001045 | Bernard A Tisdale Md PC | Radiology | 26079 Lee Highway, Abingdon, VA 24211 | 2006-11-20 |
| 1982670048 | Jeffrey Allen Mccraw | Anesthesiology | 351 North Court St, Abingdon, VA 24211 | 2006-02-27 |
| 1356320881 | Joseph A Brown | Internal Medicine | 16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211 | 2006-01-12 |
| 1922667435 | Saman Saeed | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2019-06-08 |
| 1487140562 | Joshua Aaron Hess | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2018-07-02 |
| 1073005989 | Carl Thurman Harrison Jr. | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2018-06-06 |
| Find all providers in zip 24211 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770864670 | Blue Ridge Medical Management Corporation | Clinic/Center | 603 Campus Dr, Suite 100, Abingdon, VA 24210-9700 | 2011-09-06 |
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|---|---|---|---|---|
| 1881200764 | Total Healthcare | Clinic/Center | 2202 Daniels Creek Rd, Collinsville, VA 24078-1370 | 2020-09-16 |
| 1487284717 | Xcel Urgent Care LLC | Clinic/Center | 3517 S Jefferson St, Falls Church, VA 22041-3106 | 2020-01-27 |
| 1003446402 | Mwhc Urgent Care LLC | Clinic/Center | 10 Stafford Lakes Parkway, Stafford, VA 22406 | 2020-01-24 |
| 1942857297 | Quiet Heartbeat LLC | Clinic/Center | 101 King Arthurs Way Apt 203, Fredericksburg, VA 22406-6421 | 2019-08-21 |
| 1467914994 | Velocity Urgent Care, LLC | Clinic/Center | 7394 Harbour Towne Pkwy Ste 5, Suffolk, VA 23435-3473 | 2019-04-03 |
| 1710448022 | Shifa Health LLC | Clinic/Center | 9 Center St Ste 101, Stafford, VA 22556-8910 | 2019-03-28 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1104394766 | Ortho Oic Orthopaedic Immediate Care, LLC | Clinic/Center | 1701 Clarendon Blvd Ste 120, Arlington, VA 22209-4800 | 2018-11-12 |
| 1043795941 | Velocity Urgent Care, LLC | Clinic/Center | 2180 General Booth Blvd Ste F, Virginia Beach, VA 23454-5804 | 2018-09-27 |
| 1174005920 | Velocity Urgent Care, LLC | Clinic/Center | 1001 Centerbrooke Ln Ste 100, Suffolk, VA 23434-8663 | 2018-08-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.