Active NPI
Timothy Boyd, PA-C
- Physician Assistant
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110010019
- Practice address
- 24530 Falcon Place Blvd Ste 100
Abingdon, VA 24211-7665 - Phone
- (276) 619-0075
- NPI assigned
- Feb 28, 2024
- Last updated
- Nov 28, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110010019 | VA | Primary |
Addresses
Primary practice location
24530 Falcon Place Blvd Ste 100
Abingdon, VA 24211-7665
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
245 Medical Park Dr Ste C
Marion, VA 24354-1100
Phone (276) 378-3300
Other practice location 2
344 Overlook Dr Ste 200
Lebanon, VA 24266-3436
Phone (276) 883-5900
Other practice location 3
601 Commonwealth Dr
Norton, VA 24273-4053
Phone (276) 679-6028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200
24530 Falcon Place Blvd
Abingdon, VA 24211-7665
601 Commonwealth Dr
Norton, VA 24273-4053
Phone (276) 679-6028
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110010019 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients |
Locations
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
24530 Falcon Place Blvd
Ste 100
Abingdon, VA 24211
Phone (276) 619-0075
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
344 Overlook Dr
Ste 200
Lebanon, VA 24266
Phone (276) 883-5900
245 Medical Park Dr
Ste C
Marion, VA 24354
Phone (276) 378-1000
601 Commonwealth Dr
Norton, VA 24273
Phone (276) 679-5880
Organizations & group practices 6
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
- Internal Medicine Physician
- Abingdon, VA
- NPI 1174808216
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Abingdon, VA
- NPI 1700264900
-
- Urgent Care Clinic/Center
- Bristol, VA
- NPI 1295193183
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732752000000",
"number": "1639935406",
"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": "423-952-2111",
"fax_number": "423-282-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24530 FALCON PLACE BLVD STE 100",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117665",
"telephone_number": "276-619-0075"
}
],
"practiceLocations": [
{
"address_1": "245 Medical Park Dr Ste C",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "VA",
"postal_code": "243541100",
"country_code": "US",
"telephone_number": "276-378-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "344 Overlook Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "VA",
"postal_code": "242663436",
"country_code": "US",
"telephone_number": "276-883-5900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Commonwealth Dr",
"address_purpose": "LOCATION",
"city": "Norton",
"state": "VA",
"postal_code": "242734053",
"country_code": "US",
"telephone_number": "276-679-6028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYD",
"first_name": "TIMOTHY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-28",
"last_updated": "2024-11-28",
"certification_date": "2024-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110010019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
- Emily Lorenz Boucher, FNP-C
- James Harris Bowden Jr., M.D.
- Kimberly Boyd, ARPN, FNP-C
- Melinda Boyd
- Teresa J Boyd, LPN
- Laura Rose Brailsford, DMD
- Brian Joseph Mazzei DPM and Renee Patrice Mason DPM PC
- Bright Minds Behavioral Health PLLC
- Maria McFarlane Briscoe, CFNP
- Bristol Orthotics & Prosthetics, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.