Individual provider Active NPI

Jamison Reid Trammell, PA-C

  • Physician Assistant
  • Bristol, VA
National Provider Identifier
1447040571
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010969 Issued in VA
Practice address
170 Blevins Blvd Ste 1
Bristol, VA 24202-6021
Phone
(276) 268-2810
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110010969 VA Primary

Addresses

Primary practice location

170 Blevins Blvd Ste 1
Bristol, VA 24202-6021

Mailing address

PO Box 500
Milligan, TN 37682-0500

Other practice location 1

4409 Chapman Hwy Ste W
Knoxville, TN 37920-4326
Phone (865) 545-9322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 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
I20250702004269 TN Practitioner - Physician Assistant 3577076470 Reassigns benefits to 1 organization
I20250728000446 VA Practitioner - Physician Assistant 3577076470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6609TNMDPharmacist
0110010969VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Recovery of Middle Tennessee, LLC CurrentSince May 21, 2025 Accepting new patients
Cedar Recovery Otp, LLC PastSince Jan 19, 2025 Accepting new patients

Locations

2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110

5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549

170 Blevins Blvd
Ste 1
Bristol, VA 24202
Phone (276) 268-2810

170 Blevins Blvd
Bristol, VA 24202
Phone (276) 285-3911

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1447040571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "MILLIGAN",
            "state": "TN",
            "postal_code": "376820500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BLEVINS BLVD STE 1",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242026021",
            "telephone_number": "276-268-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4409 Chapman Hwy Ste W",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379204326",
            "country_code": "US",
            "telephone_number": "865-545-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAMMELL",
        "first_name": "JAMISON",
        "middle_name": "REID",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

Verify at the official NPI Registry.