Jessica Nicole Evans, DO
Individual provider Active NPI Family Medicine Physician · Meadowview, VA
NPI 1629569934 · NPPES record last updated Jul 8, 2026
Key facts
- NPI
- 1629569934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0102206843 (VA)
- Practice address
- 13168 Meadowview SQ
Meadowview, VA 24361 - Phone
- (276) 944-3999
- NPI assigned
- May 22, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Liberty Univ College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Virginia Community Health Systems Incorporated
Practice addresses (Care Compare)
13168 Meadowview SQ
Meadowview, VA 24361-3328
Phone (276) 944-3999
Hospital & facility affiliations
- Johnston Memorial Hospital
- Smyth County Community Hospital
- Russell County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210921003803 | VA | Practitioner - Family Practice |
7618226838 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Virginia Community Health Systems Inc. | Current |
Accepting new patients | |
| Southwest Virginia Community Health Systems Inc. | Current |
Accepting new patients | |
| Southwest Virginia Community Health Systems Incorporated | Current | Accepting new patients |
Locations
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
319 5th Ave
Saltville, VA 24370
308 W Main St
Saltville, VA 24370
Phone (276) 496-4433
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCCDAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102206843 | VA | Yes |
Addresses
Primary practice location
13168 Meadowview SQ
Meadowview, VA 24361
Mailing address
13168 Meadowview Square
Meadowview, VA 24361
Phone (276) 944-3999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629569934 | Medicaid | VA |
Other providers in Meadowview, VA
- Mikaylin R Cheskiewicz
- Cornerstone Enterprises & General Contracting
- Janet Brooke Cuddy
- Caitlin Davis
- Cassandra Brooke Ellison
- Gayle Ann Findley
- Gregory'S Assisted Living
- Chelsey Hagy
- Michael Kleinot
- Sharon Kiser Lynch
All providers in Meadowview, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.