Individual provider Active NPI

Baylie Bellamy, NP

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1417654260
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33260 Issued in TN
Practice address
1905 American Way
Kingsport, TN 37660-5882
Phone
(423) 578-8451
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024186205 VA
Family Nurse Practitioner 363LF0000X 33260 TN Primary

Addresses

Primary practice location

1905 American Way
Kingsport, TN 37660-5882

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

2021 Brookside Drive
Suite 2
Kingsport, TN 37660
Phone (423) 578-8452

Other practice location 2

16000 Johnston Memorial Dr Ste 213
Abingdon, VA 24211-0001
Phone (276) 258-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230410002215 VA Practitioner - Nurse Practitioner 8022481498 Reassigns benefits to 1 organization
I20230622001930 TN Practitioner - Nurse Practitioner 8022481498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16000 Johnston Mem Dr
Suite 213
Abingdon, VA 24211-7659
Phone (276) 258-2600

Hospital & facility affiliations

  • Mountain Regional Personal Care Services Inc Home health agency, Duffield, VA, CCN 497592
  • Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33260TNMDFamily Nurse Practitioner
0024186205VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 12, 2023 Accepting new patients
Wellmont Health System Current Accepting new patients

Locations

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

1905 American Way
Kingsport, TN 37660
Phone (423) 230-8160

16000 Johnston Memorial Dr
Ste 213
Abingdon, VA 24211
Phone (276) 258-2600

Interoperability endpoints

  • Direct secure messaging: bbellamy316480@balladhealth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1417654260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 AMERICAN WAY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605882",
            "telephone_number": "423-578-8451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Brookside Drive",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "37660",
            "country_code": "US",
            "telephone_number": "423-578-8452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr Ste 213",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242110001",
            "country_code": "US",
            "telephone_number": "276-258-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "BAYLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186205",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.