Organization Active NPI

Bristol Gynecology & Obstetrics, P.C.

  • Obstetrics & Gynecology Physician
  • Bristol, TN
National Provider Identifier
1194896597
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BRISTOL GYNECOLOGY & OBSTETRICS, P.C.
Practice address
2901 W State St
Bristol, TN 37620-1718
Phone
(423) 968-3033
Fax
(423) 968-3789
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ashley Blevins, MDNPI 1457694929
Title
Owner
Phone
(423) 968-3033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2901 W State St
Bristol, TN 37620-1718

Mailing address

2901 W State St
Bristol, TN 37620-1718
Phone (423) 968-3033

Other practice location 1

28 Midway St
Bristol, TN 37620-1706
Phone (423) 968-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000275 TN Part B Supplier - Clinic/Group Practice 4587699145 Receives reassigned benefits from 7 practitioners
Practice locations: Bristol, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0878995Bristol Gynecology and Obstetrics PC2901 W State St, Bristol, TN 37620Provider-performed microscopyNov 8, 2027

National Provider Directory

National Provider Directory

Locations

249 Midway Medical Park
Ste 101
Bristol, TN 37620
Phone (423) 968-3033

2901 W State St
Bristol, TN 37620
Phone (423) 968-2182

Interoperability endpoints

  • Direct secure messaging: ashleyblevins@bgynobpc.allscriptsdirect.net
  • Direct secure messaging: rossspires@bgynobpc.allscriptsdirect.net
  • Direct secure messaging: staciemccray@bgynobpc.allscriptsdirect.net
  • Direct secure messaging: davidrussell@bgynobpc.allscriptsdirect.net
  • Direct secure messaging: wesleyharris@bgynobpc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1194896597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W STATE ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201718",
            "telephone_number": "423-968-3033",
            "fax_number": "423-968-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W STATE ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201718",
            "telephone_number": "423-968-3033",
            "fax_number": "423-968-3789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Midway St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376201706",
            "country_code": "US",
            "telephone_number": "423-968-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRISTOL GYNECOLOGY & OBSTETRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-968-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.