Active NPI
Baylie Bellamy, NP
- Family Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 33260
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
- Lonesome Pine Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33260 | TN | MD | Family Nurse Practitioner |
| 0024186205 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1699078808
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Duffield, VA
- NPI 1336141779
-
- General Acute Care Hospital
- Big Stone Gap, VA
- NPI 1801826912
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.