Jessica D Hommel, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD0000047222 Issued in TN

Practice address

320 Steeles Rd
Bristol, TN 37620-9532

Phone

(423) 968-2599

NPI assigned

May 24, 2007

Last updated

Sep 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Holston Medical Group PC

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1831110667

  Pediatrics

  Medicare reassignment NPD
• Wellmont Health System

  dba Bristol Regional Medical Center

  • General Acute Care Hospital
  • Bristol, TN
  • NPI 1124058615
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1821209578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 STEELES RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376209532",
            "telephone_number": "423-968-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 STEELES RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376209532",
            "telephone_number": "423-968-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMMEL",
        "first_name": "JESSICA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD0000047222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821209578",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4304362",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Franklin Hoffer, MD
• Jack M. Hoffnung, M.D.
• Amy Sharon Hollen, RN
• Holston Medical Group, PC (Sapling Grove Orthopaedics)
• Gabriel J Hommel, M.D.
• Brandy Nicole Leggett Hood, M.D.
• Amanda Pippin Hopkins, PHARM. D.
• Andrea Lynne Hopkins, M.D.
• David Allen Hopkins II, DO, PHARMD
• Michael B Hopkins, PHD

• Pediatrics Physician in Bristol, TN
• Providers in Bristol, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.