Individual provider Active NPI

John Walter Mann III, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Abingdon, VA
National Provider Identifier
1487631602
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
0101048448 Issued in VA
Practice address
16000 Johnston Memorial Dr Ste 100
Abingdon, VA 24211-7664
Phone
(276) 477-1443
Fax
(833) 576-2316
NPI assigned
Dec 29, 2005
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101048448 VA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 0101048448 VA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0101048448 VA

Addresses

Primary practice location

16000 Johnston Memorial Dr Ste 100
Abingdon, VA 24211-7664

Mailing address

16000 Johnston Memorial Dr Ste 100
Abingdon, VA 24211-7664
Phone (276) 477-1443

Other identifiers 20

IdentifierTypeStateIssuer
1487631602OtherVAHUMANA MEDICARE
009878000OtherVAMEDICAID OF WEST VIRGINIA
371194700OtherVABLACK LUNG
1487631602OtherVAVA PREMIER
1487631602OtherVAHEALTHKEEPERS PLUS
1487631602OtherVACOVENTRY/AETNA BETTER HEALTH
1487631602OtherVAGATEWAY
1487631602OtherVACIGNA
1487631602OtherVAVIRGINIA HEALTH NETWORK
1487631602OtherVAMAGELLAN CCP
1487631602OtherVAAETNA
1487631602OtherVAHEALTHKEEPERS
540506332115OtherVATRICARE/CHAMPUS
1487631602OtherVAUNITED HEALTHCARE
1487631602OtherVAUMWA
P080129534OtherVARAILROAD MEDICARE
1487631602OtherVAINTOTAL
1487631602OtherVAANTHEM
1487631602OtherVAOPTIMA HEALTH PLAN
1487631602MedicaidVA

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040420001456 VA Practitioner - Orthopedic Surgery 8224925482 Reassigns benefits to 3 organizations
I20220323001037 TN Practitioner - Orthopedic Surgery 8224925482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Virginia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Clinic, PCGroup PAC ID 9638082076, 229 clinicians
Dominion Health and Fitness, IncGroup PAC ID 3274570908, 71 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Suite 300E
Bristol, TN 37620-7497
Phone (423) 434-6300

1490 Park Ave NW
Suite 4a
Norton, VA 24273-1631
Phone (276) 439-1385

16000 Johnston Memorial Dr
Suite 100
Abingdon, VA 24211-7664
Phone (423) 434-6300

4862 Dickenson Hwy
Clintwood, VA 24228-1810

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement24
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101048448VAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Clinic, PC Orthopaedic Surgery CurrentSince Jun 1, 2025 Accepting new patients
Appalachian Orthopaedic Associates P C Orthopaedic Surgery Current Accepting new patients
Appalachian Orthopaedic Associates P C CurrentSince Jan 20, 2022 Accepting new patients
Campbell Clinic PC CurrentSince Jun 1, 2025 Accepting new patients
Appalachian Orthopaedic Associates P C Orthopaedic Surgery CurrentSince Jan 20, 2022 Accepting new patients
Appalachian Orthopaedic Associates P C Orthopaedic Surgery CurrentSince Jan 20, 2022 Accepting new patients
Norton Community Physician Services LLC CurrentSince Jun 1, 2025 Accepting new patients
Norton Community Physician Services LLC Orthopaedic Surgery CurrentSince Jun 1, 2025 Accepting new patients
Campbell Clinic Past Accepting new patients
Roanoke Orthopaedic Center, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

1 Medical Park Blvd
Ste 300E
Bristol, TN 37620
Phone (423) 245-3161

105 Meadow View Rd
Ste 4
Bristol, TN 37620
Phone (423) 844-6935

260 Midway Medical Park
Ste 100
Bristol, TN 37620
Phone (423) 968-4446

1500 W Elk Ave
Ste 102
Elizabethton, TN 37643
Phone (423) 282-5054

3 Professional Park Dr
Ste 10
Johnson City, TN 37604
Phone (423) 926-4331

3 Professional Park Dr
Ste 21
Johnson City, TN 37604

4105 Fort Henry Dr
Ste 300
Kingsport, TN 37663
Phone (423) 239-1550

4221 Fort Henry Dr
Ste 1
Kingsport, TN 37663
Phone (423) 239-1550

1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

16000 Johnston Memorial Dr
Ste 100
Abingdon, VA 24211
Phone (276) 258-1760

100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140

1490 Park Ave NW
Ste 4A
Norton, VA 24273
Phone (276) 439-1385

338 Coeburn Ave SW
Norton, VA 24273
Phone (276) 679-0800

98 15th St NW
Ste 208
Norton, VA 24273
Phone (276) 679-7600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.mann.1@1054.direct.athenahealth.com
  • Direct secure messaging: john.mann.1@1366.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 9

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1487631602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR STE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-477-1443",
            "fax_number": "833-576-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR STE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-477-1443",
            "fax_number": "833-576-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101048448",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "VA",
            "license": "0101048448",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101048448",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA MEDICARE",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OF WEST VIRGINIA",
            "identifier": "009878000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "371194700",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS PLUS",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY/AETNA BETTER HEALTH",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN CCP",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "540506332115",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P080129534",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTOTAL",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH PLAN",
            "identifier": "1487631602",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487631602",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.