Active NPI
Mary Hebert Dawson, M.D.
- Family Medicine Physician
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101247313
- Practice address
- 613 Campus Dr
Suite 200
Abingdon, VA 24210-9703 - Phone
- (276) 628-1186
- Fax
- (276) 628-8507
- NPI assigned
- Jun 14, 2007
- Last updated
- Aug 16, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101247313 | VA | Primary |
Addresses
Primary practice location
613 Campus Dr
Suite 200
Abingdon, VA 24210-9703
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
2885 Boones Creek Rd Ste 202
Johnson City, TN 37615-8004
Phone (423) 952-8050
Other practice location 2
115 Judge Gresham Rd Ste A
Gray, TN 37615-6213
Phone (423) 467-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447454251 | Medicaid | VA |
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: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Brody School of Medicine at East Carolina University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
115 Judge Gresham Rd
Suite B
Gray, TN 37615-6213
Phone (423) 477-2010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Abingdon Physician Partners | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Family Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Past | Accepting new patients |
Locations
115 Judge Gresham Rd
Ste A
Gray, TN 37615
Phone (423) 467-3000
115 Judge Gresham Rd
Ste B
Gray, TN 37615
Phone (423) 477-2010
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
2885 Boones Creek Rd
Ste 202
Johnson City, TN 37615
Phone (423) 952-8050
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
613 Campus Dr
Ste 200
Abingdon, VA 24210
Phone (276) 628-1186
1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
Family Medicine
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1306944350
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Johnson City, TN
- NPI 1740227131
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Woodridge Hospital
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
dba Franklin Woods Community Hospital
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
dba Johnson City Medical Center
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
dba Johnson City Medical Center
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
dba Indian Path Community Hospital
- General Acute Care Hospital
- Kingsport, TN
- NPI 1992813240
-
dba Holston Valley Medical Center
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1447454251",
"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": "613 CAMPUS DR",
"address_2": "SUITE 200",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242109703",
"telephone_number": "276-628-1186",
"fax_number": "276-628-8507"
}
],
"practiceLocations": [
{
"address_1": "2885 Boones Creek Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376158004",
"country_code": "US",
"telephone_number": "423-952-8050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Judge Gresham Rd Ste A",
"address_purpose": "LOCATION",
"city": "Gray",
"state": "TN",
"postal_code": "376156213",
"country_code": "US",
"telephone_number": "423-467-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "MARY",
"middle_name": "HEBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101247313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447454251",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.