Jodie Ann Bolling, FNP
Individual provider Active NPI Nurse Practitioner · Norton, VA
NPI 1730801739 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1730801739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024185268 (VA)
- Practice address
- 601 Commonwealth Dr
Norton, VA 24273-4053 - Phone
- (276) 679-6028
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1021 W Oakland Ave
Suite 310
Johnson City, TN 37604-2192
Hospital & facility affiliations
- Lonesome Pine Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current |
Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients | |
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| Wellmont Health System | 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
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
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
Interoperability endpoints
- jbolling313370@balladhealth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024185268 | VA | Yes |
Addresses
Primary practice location
601 Commonwealth Dr
Norton, VA 24273-4053
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
303 Med Tech Pkwy
Johnson City, TN 37604-2391
Phone (276) 298-9548
Other practice location 2
344 Overlook Dr Ste 200
Lebanon, VA 24266-3436
Phone (276) 883-5900
Other practice location 3
24530 Falcon Place Blvd Ste 100
Abingdon, VA 24211-7665
Phone (276) 619-0075
Other practice location 4
245 Medical Park Dr Ste C
Marion, VA 24354-1100
Phone (276) 378-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024185268 | Other | VA | LICENSE NUMBER |
Other names
- Jodie Ann Lewis
Other providers in Norton, VA
- Blue Ridge Medical Management
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Stanley Horton Botts Jr.
- Edward B Boyd
- Braxton F. Cann Jr MD PC
- Gregory Vaughn Brewer
- Macon Brown
All providers in Norton, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2023. 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.