Active NPI
Abingdon Internal Medicine PC
- Internal Medicine Physician
- Abingdon, VA
National Provider Identifier
1811983505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ABINGDON INTERNAL MEDICINE PC
- Practice address
- 322 Evalley St
Abingdon, VA 24210 - Phone
- (276) 628-1106
- Fax
- (276) 676-0215
- NPI assigned
- Sep 27, 2005
- Last updated
- Oct 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kim Andis
- Title
- Office Administrator
- Phone
- (276) 628-1106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
322 Evalley St
Abingdon, VA 24210
Mailing address
322 E Valley St
Abingdon, VA 24210
Phone (276) 628-1106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6064591 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
322 Valley St NE
Abingdon, VA 24210
Phone (276) 628-1106
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFJCCA
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Abingdon, VA
- NPI 1730699505
-
- Geriatric Medicine (Internal Medicine) Physician
- Abingdon, VA
- NPI 1548339989
-
- Family Nurse Practitioner
- Bristol, VA
- NPI 1538815741
-
- Internal Medicine Physician
- Saltville, VA
- NPI 1235112558
-
- Sleep Medicine (Internal Medicine) Physician
- Abingdon, VA
- NPI 1942296645
-
- Family Nurse Practitioner
- Abingdon, VA
- NPI 1275158925
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1518954239
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1871586917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477267200000",
"number": "1811983505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 E VALLEY ST",
"city": "ABINGDON",
"state": "VA",
"postal_code": "24210",
"telephone_number": "276-628-1106",
"fax_number": "276-676-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 EVALLEY ST",
"city": "ABINGDON",
"state": "VA",
"postal_code": "24210",
"telephone_number": "276-628-1106",
"fax_number": "276-676-0215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABINGDON INTERNAL MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-27",
"last_updated": "2016-10-24",
"status": "A",
"authorized_official_last_name": "ANDIS",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "276-628-1106",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6064591",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
- Abingdon Foot & Ankle Clinic PC
- Abingdon Health Care LLC (Abingdon Health & Rehab Center)
- Abingdon Healthcare for Women PLLC
- Abingdon Hearing Care
- Abingdon Integrative Psychiatry LLC
- Abingdon Opticians LTD (Potters Abingdon Opticians)
- Abingdon Pediatric Dentistry
- Abingdon Physician Partners (Mountain Gastroenterology)
- Abingdon Physician Partners
- Abingdon Physician Partners
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.