Individual provider Active NPI

Joy J Kindle, M.D.

  • Diagnostic Radiology Physician
  • Alexandria, VA
National Provider Identifier
1811945512
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101259312 Issued in VA
Practice address
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone
(703) 504-3000
NPI assigned
May 4, 2006
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 30834 TN
Diagnostic Radiology Physician 2085R0202X 0101259312 VA Primary

Addresses

Primary practice location

4320 Seminary Rd
Alexandria, VA 22304-1535

Mailing address

1301 Sunset Dr
Ste 3
Johnson City, TN 37604-7906
Phone (423) 926-4966

Other practice location 1

1301 Sunset Dr
Ste 3
Johnson City, TN 37604-7906
Phone (423) 926-4966

Other identifiers 7

IdentifierTypeStateIssuer
3851540MedicaidTN
7209282OtherVAVIRGINIA MEDICAID
89063JPOtherNCNORTH CAROLINA
300114876OtherTNRAILROAD MEDICARE
64027048OtherKYKENTUCKY MEDICAID
100031481OtherTNPHP TNCARE
3146755OtherTNBCBS

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
I20111202000303 TN Practitioner - Diagnostic Radiology 8426130915 Reassigns benefits to 3 organizations
I20160712002451 VA Practitioner - Diagnostic Radiology 8426130915 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
East Tennessee State University Quillen College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Radiology PCGroup PAC ID 7416860473, 77 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2200

105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (423) 968-1144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30834TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Association of Alexandria Radiologists, P.C. Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Mountain Empire Radiology Inc PC Diagnostic Radiology CurrentSince Jul 17, 2000 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Page Memorial Hospital, Inc. Current Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Page Memorial Hospital Inc. CurrentSince Feb 1, 2020 Accepting new patients
Blue Ridge Radiology, P.C. Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

3053 W State St
Bristol, TN 37620
Phone (423) 301-6567

4289 Bonny Oaks Dr
Ste 106
Chattanooga, TN 37406

100 Greenway Cir
Erwin, TN 37650
Phone (423) 743-1271

1301 Sunset Dr
Ste 3
Johnson City, TN 37604
Phone (423) 588-7130

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 323-6900

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

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

312 Hospital Dr
Clintwood, VA 24228
Phone (276) 439-1450

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

9166 N Congress St
New Market, VA 22844
Phone (540) 459-1340

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

505 Williams Ave
Shenandoah, VA 22849
Phone (540) 652-9100

235 Medical Dr
Stanley, VA 22851
Phone (540) 778-3484

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1811945512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SUNSET DR",
            "address_2": "STE 3",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047906",
            "telephone_number": "423-926-4966",
            "fax_number": "423-926-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 SEMINARY RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041535",
            "telephone_number": "703-504-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Sunset Dr",
            "address_2": "STE 3",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376047906",
            "country_code": "US",
            "telephone_number": "423-926-4966",
            "fax_number": "423-926-1823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDLE",
        "first_name": "JOY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "30834",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101259312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3851540",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA MEDICAID",
            "identifier": "7209282",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA",
            "identifier": "89063JP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300114876",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAID",
            "identifier": "64027048",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TNCARE",
            "identifier": "100031481",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3146755",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.