Jeffrey Blackwell, MD, PHD
Individual provider Active NPI Family Medicine Physician · Meadowview, VA
NPI 1013544774 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1013544774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101278580 (VA)
- Practice address
- 12180 Alder St
Meadowview, VA 24361 - Phone
- (276) 695-0205
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- East Tennessee State University Quillen College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Smyth County Community Hospital
Practice addresses (Care Compare)
636 S Monte Vista Dr
Glade Spring, VA 24340-2712
Phone (276) 429-5163
Hospital & facility affiliations
- Amedisys Home Health Care
- Adoration Home Health
- Smyth County Community Hospital
- Johnston Memorial Hospital
- Russell County Hospital
- Wellmont Bristol Regional Medical Center
- Johnson City Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230802002747 | VA | Practitioner - Family Practice | 2961826177 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles (8 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smyth County Community Hospital | Current |
Accepting new patients | |
| Wellmont Medical Associates Inc | Family Medicine | Current |
Accepting new patients |
| Wellmont Health System | Current | Accepting new patients | |
| Smyth County Community Hospital | Current |
Accepting new patients | |
| Blue Ridge Medical Management Corporation | Family Medicine | Current |
Accepting new patients |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Family Medicine | Current |
Accepting new patients |
Locations
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
16000 Johnston Memorial Dr
Ste 213
Abingdon, VA 24211
Phone (276) 258-2600
24530 Falcon Place Blvd
Ste 201
Abingdon, VA 24211
Phone (276) 619-0075
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
743 Island Rd
Bristol, VA 24201
Phone (276) 469-4200
636 S Monte Vista Dr
Glade Spring, VA 24340
Phone (276) 429-5163
1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777
1785 W Lee Hwy
Wytheville, VA 24382
Phone (276) 228-6499
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
- KY PPO
- KY PPO C-SNP
Interoperability endpoints
- jblackwell192507@balladhealth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101278580 | VA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
12180 Alder St
Meadowview, VA 24361
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
1785 W Lee Hwy
Wytheville, VA 24382-1437
Phone (276) 228-6499
Other practice location 2
16000 Johnston Memorial Dr Ste 213
Abingdon, VA 24211-0001
Phone (276) 258-2600
Other practice location 3
636 S Monte Vista Dr
Glade Spring, VA 24340-2712
Phone (276) 429-5163
Other providers in Meadowview, VA
- Abingdon Physician Parnters
- Anshin Counseling, PLLC
- Bayleigh Boardwine
- Mikaylin R Cheskiewicz
- Cornerstone Enterprises & General Contracting
- Janet Brooke Cuddy
- Caitlin Davis
All providers in Meadowview, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.