Kellie M S Blackwell (NPI# 1104053891, PAC ID# 8820245749) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104053891 |
| PAC ID by PECOS | 8820245749 |
| Professional Enrollment ID | I20120913000229 |
| Full Name | Kellie M S Blackwell |
| Organization Legal Name | WELLMONT MEDICAL ASSOCIATES INC |
| Address |
349 Island Rd Bristol VA 24201-7009 |
| Phone Number | 2764694200 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8123291739 |
| Number of Group Practice Members | 296 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| 490053 | JOHNSTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 349 Island Rd, Bristol, VA 24201-7009 | 2764694200 | WELLMONT MEDICAL ASSOCIATES INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 97% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 42% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 100% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 46% |
| Organization Legal Name | WELLMONT MEDICAL ASSOCIATES INC |
| Physicians | 303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley J Davis | Nurse Practitioner | Wellmont Medical Associates Inc | 2202 N John B Dennis Hwy, Kingsport, TN 37660-5904 |
| Crystal L Stiltner | Family Medicine | Wellmont Medical Associates Inc | 405 Scenic Dr, Suite B, Rogersville, TN 37857-2441 |
| April A Wallace | Nurse Practitioner | Wellmont Medical Associates Inc | 671 Hwy 58 E, Norton, VA 24273-3007 |
| Jared Charles Abel | Nurse Practitioner | Wellmont Medical Associates Inc | 410 Stagecoach Rd, Bristol, VA 24201-8359 |
| Pamela Kelli Lane | Nurse Practitioner | Wellmont Medical Associates Inc | 2830 Hwy 394, Suite 4, Blountville, TN 37617-5577 |
| Jonathan M. Hutchins | Nurse Practitioner | Wellmont Medical Associates Inc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Keressa L Clark | Nurse Practitioner | Wellmont Medical Associates Inc | 1220 Volunteer Pkwy, Bristol, TN 37620-4628 |
| Kayla J Joyce | Nurse Practitioner | Wellmont Medical Associates Inc | 115 Judge Gresham Rd, Gray, TN 37615-6213 |
| Morgan Cabell | Nurse Practitioner | Wellmont Medical Associates Inc | 2686 W State St, Bristol, TN 37620-1817 |
| Kevin Hudson | Physician Assistant | Wellmont Medical Associates Inc | 410 N State of Franklin Rd, Suite 140, Johnson City, TN 37604-6035 |
| Street Address |
349 ISLAND RD |
| City | BRISTOL |
| State | VA |
| Zip | 24201-7009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy R Swinney | Nurse Practitioner | Wellmont Medical Associates Inc | 349 Island Rd, Bristol, VA 24201-7009 |
| Rachel C Wilson | Family Medicine | Wellmont Medical Associates Inc | 349 Island Rd, Bristol, VA 24201-7009 |
| Karen J Stallard | Nurse Practitioner | Wellmont Medical Associates Inc | 349 Island Rd, Bristol, VA 24201-7009 |
| Kathy L Sharp | Nurse Practitioner | Wellmont Medical Associates Inc | 349 Island Rd, Bristol, VA 24201-7009 |
| Maurice E Nida | Internal Medicine | Wellmont Medical Associates Inc | 349 Island Rd, Bristol, VA 24201-7009 |
| Charise N Battel | Nurse Practitioner | Wellmont Medical Associates Inc | 349 Island Rd, Bristol, VA 24201-7009 |
| Brenda Jessee | Nurse Practitioner | Wellmont Medical Associates Inc | 349 Island Rd, Bristol, VA 24201-7009 |
| Krissa M Trombetta | Nurse Practitioner | Wellmont Medical Associates Inc | 349 Island Rd, Bristol, VA 24201-7009 |
| Jennifer C Peters | Family Medicine | Wellmont Medical Associates Inc | 349 Island Rd, Bristol, VA 24201-7009 |
| Darlene B Litton | Family Medicine | Wellmont Medical Associates Inc | 349 Island Rd, Bristol, VA 24201-7009 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Earl Allen Jr. | Chiropractic | 1932 Lee Hwy, Bristol, VA 24201-1624 | |
| Jayne E Miller Fritz | Qualified Audiologist | Bristol Regional Speech and Hearing Center | 2603 Osborne St, Suite 1, Bristol, VA 24201-2326 |
| Lisa M Brooks | Qualified Speech Language Pathologist | Bristol Regional Speech and Hearing Center | 2603 Osborne St, Suite 1, Bristol, VA 24201-2326 |
| Shea K Bartz | Speech Language Pathologist | Bristol Regional Speech and Hearing Center | 2603 Osborne St, Suite 1, Bristol, VA 24201-2326 |
| Christine Powers | Audiologist | Bristol Regional Speech and Hearing Center | 2603 Osborne St, Suite 1, Bristol, VA 24201-2326 |
| Kelly D Dixon | Audiologist | Bristol Regional Speech and Hearing Center | 2603 Osborne St, Suite 1, Bristol, VA 24201-2326 |
| Zachary A Hammons | Family Medicine | Wellmont Medical Associates Inc | 103 N St, A, Bristol, VA 24201-3201 |
| Holly V Williams | Nurse Practitioner | Wellmont Medical Associates Inc | 103 N St, A, Bristol, VA 24201-3201 |
| Alexander Gray Moore | Nurse Practitioner | Wellmont Medical Associates Inc | 103 N St, A, Bristol, VA 24201-3201 |
| Katey S Morrell | Nurse Practitioner | Wellmont Medical Associates Inc | 103 N St, Bristol, VA 24201-3201 |
| Find all physicians in zip 24201 | |||
| City | BRISTOL |
| Zip Code | 24201 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRISTOL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kellie M S Blackwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.