NPIMap

Individual provider Active NPI

Wendy Eileen Abbott, DO

  • Family Medicine Physician
  • Big Stone Gap, VA
National Provider Identifier
1497290241
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95556 Issued in SC
Practice address
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone
(276) 679-6495
Fax
(276) 679-6498
NPI assigned
Jan 4, 2017
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95556 SC Primary
Internal Medicine Physician 207R00000X 4127 TN

Addresses

Primary practice location

1990 Holton Ave E
Big Stone Gap, VA 24219-3350

Mailing address

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 679-6495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, AZ, SC4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200312001263 VA Practitioner - Hospitalist 0648608307
I20201123001143 TN Practitioner - Hospitalist 0648608307 Reassigns benefits to 2 organizations
I20230814002662 AZ Practitioner - Internal Medicine 0648608307 Reassigns benefits to 2 organizations
I20260622001428 SC Practitioner - Internal Medicine 0648608307

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410

1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (480) 358-6300

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95556SCMDFamily Medicine Physician
4127TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. Internal Medicine CurrentSince Oct 9, 2020 Accepting new patients
Wellmont Medical Associates Inc Family Medicine Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jan 12, 2020 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. Internal Medicine CurrentSince Jan 12, 2020 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2023 Accepting new patients
Wellmont Medical Associates Inc Family Medicine Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 25, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Internal Medicine CurrentSince Oct 9, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine CurrentSince Mar 25, 2020 Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

98 15th St NW
Ste 203
Norton, VA 24273
Phone (276) 679-9002

Organizations & group practices 15

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.

View all 15

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1497290241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 HOLTON AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193350",
            "telephone_number": "276-679-6495",
            "fax_number": "276-679-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 HOLTON AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193350",
            "telephone_number": "276-679-6495",
            "fax_number": "276-679-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "WENDY",
        "middle_name": "EILEEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "95556",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "4127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

Verify at the official NPI Registry.