Individual provider Active NPI

Paul L Jett, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Kingsport, TN
National Provider Identifier
1780634469
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD39397 Issued in TN
Practice address
2205 Pavilion Dr Ste 201
Kingsport, TN 37660-4614
Phone
(423) 224-2370
Fax
(423) 224-2371
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101272721 VA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD39397 TN Primary
Physical Medicine & Rehabilitation Physician 208100000X MD39397 TN
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0101272721 VA

Addresses

Primary practice location

2205 Pavilion Dr Ste 201
Kingsport, TN 37660-4614

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

401 Scenic Dr
Rogersville, TN 37857-2452
Phone (423) 272-7261

Other practice location 2

2204 Pavilion Dr Ste 110
Kingsport, TN 37660-4651
Phone (423) 979-6014

Other practice location 3

1980 Holton Ave E Ste 301
Big Stone Gap, VA 24219-3367
Phone (276) 523-8973

Other practice location 4

671 Highway 58 E
Norton, VA 24273-3007
Phone (276) 679-5874

Other practice location 5

601 Campus Dr
Abingdon, VA 24210-9700
Phone (276) 258-1670

Other identifiers 2

IdentifierTypeStateIssuer
3332616MedicaidTN
1509475MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 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
I20050811000945 TN Practitioner - Physical Medicine and Rehabilitation 7315976032 Reassigns benefits to 1 organization
I20210805000487 VA Practitioner - Physical Medicine and Rehabilitation 7315976032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Louisville School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

1980 Holton Ave E
Suite 301
Big Stone Gap, VA 24219-3367
Phone (276) 523-8973

401 Scenic Dr
Rogersville, TN 37857-2452
Phone (423) 272-7261

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39397TNMDPharmacist
MD39397TNMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Three Rivers Physiatry PLLC Pain Medicine Current Accepting new patients
Wellmont Medical Associates Inc Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Sep 6, 2021 Accepting new patients
Wellmont Medical Associates Inc Physical Medicine & Rehabilitation CurrentSince Jul 1, 2012 Accepting new patients
Holston Medical Group PC Physical Medicine & Rehabilitation Past Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients
Brookwell Health LLC PastSince May 20, 2022 Accepting new patients
Jimmy C. Brasfield, PC Past Accepting new patients

Locations

1 Medical Park Blvd
Ste 250W
Bristol, TN 37620
Phone (423) 844-6407

509 Med Tech Pkwy
Ste 100
Johnson City, TN 37604
Phone (423) 302-6565

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

2204 Pavilion Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-2369

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

113 Cassell Dr
Kingsport, TN 37660
Phone (423) 246-7240

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

2205 Pavilion Dr
Ste 201
Kingsport, TN 37660
Phone (423) 224-2370

6 Sheridan Sq
Ste 100
Kingsport, TN 37660
Phone (423) 228-0163

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

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

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

1980 Holton Ave E
Ste 301
Big Stone Gap, VA 24219
Phone (276) 523-0390

671 Highway 58 E
Norton, VA 24273
Phone (276) 679-5874

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1780634469",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 PAVILION DR STE 201",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604614",
            "telephone_number": "423-224-2370",
            "fax_number": "423-224-2371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Scenic Dr",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572452",
            "country_code": "US",
            "telephone_number": "423-272-7261",
            "fax_number": "423-272-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Pavilion Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604651",
            "country_code": "US",
            "telephone_number": "423-979-6014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1980 Holton Ave E Ste 301",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193367",
            "country_code": "US",
            "telephone_number": "276-523-8973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "671 Highway 58 E",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242733007",
            "country_code": "US",
            "telephone_number": "276-679-5874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242109700",
            "country_code": "US",
            "telephone_number": "276-258-1670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JETT",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101272721",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TN",
            "license": "MD39397",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "MD39397",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101272721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3332616",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509475",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.