Individual provider Active NPI

Lindsay Brianna Lancaster, DO

  • Pediatrics Physician
  • Abingdon, VA
National Provider Identifier
1841819265
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102207946 Issued in VA
Practice address
391 Falls Dr NW
Abingdon, VA 24210-8093
Phone
(276) 739-2920
Fax
(423) 390-3339
NPI assigned
Apr 15, 2020
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0102207946 VA Primary

Addresses

Primary practice location

391 Falls Dr NW
Abingdon, VA 24210-8093

Mailing address

2323 N John B Dennis Hwy
Kingsport, TN 37660
Phone (423) 857-2066

Other names 1

  • Lindsay Brianna Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20230617000324 VA Practitioner - Pediatric Medicine 3577921832 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102207946VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Aco, LLC CurrentSince May 1, 2023 Accepting new patients
Holston Medical Group PC Pediatrics CurrentSince Jun 5, 2023 Accepting new patients

Locations

2323 N John B Dennis Hwy
Kingsport, TN 37660
Phone (423) 857-2066

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

631 Campus Dr
Abingdon, VA 24210
Phone (276) 676-3870

121 Advanced Technology Dr
Duffield, VA 24244
Phone (276) 431-2648

495 E Main St
Lebanon, VA 24266
Phone (276) 889-3700

1754 US Highway 23 North
Weber City, VA 24290
Phone (276) 386-5980

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1841819265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N JOHN B DENNIS HWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-857-2066",
            "fax_number": "423-390-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 FALLS DR NW",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242108093",
            "telephone_number": "276-739-2920",
            "fax_number": "423-390-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "LINDSAY",
        "middle_name": "BRIANNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102207946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "JONES",
            "middle_name": "BRIANNA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.