Active NPI
Jarrod Paul Couch, DO
- Family Medicine Physician
- Abingdon, VA
National Provider Identifier
1821656133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102306482
- Practice address
- 185 Valley St NE
Abingdon, VA 24210-2831 - Phone
- (276) 477-4183
- NPI assigned
- Jun 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102306482 | VA | Primary |
Addresses
Primary practice location
185 Valley St NE
Abingdon, VA 24210-2831
Mailing address
185 Valley St NE
Abingdon, VA 24210-2831
Phone (276) 477-4183
Other practice location 1
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-4435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 25, 2022 through Aug 25, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102306482 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1821656133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 VALLEY ST NE",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102831",
"telephone_number": "276-477-4183",
"fax_number": "276-565-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 VALLEY ST NE",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102831",
"telephone_number": "276-477-4183"
}
],
"practiceLocations": [
{
"address_1": "16000 Johnston Memorial Dr",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117664",
"country_code": "US",
"telephone_number": "276-258-4435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COUCH",
"first_name": "JARROD",
"middle_name": "PAUL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-01",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102306482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.