Individual provider Active NPI

Jenna Lyn, MD

  • Family Medicine Physician
  • Abingdon, VA
National Provider Identifier
1841871159
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101286610 Issued in VA
Practice address
16000 Johnston Memorial Dr Ste 200
Abingdon, VA 24211-7664
Phone
(276) 628-4335
Fax
(276) 628-3195
NPI assigned
Apr 19, 2021
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101286610 VA Primary
Obstetrics Physician 207VX0000X 0101286610 VA

Addresses

Primary practice location

16000 Johnston Memorial Dr Ste 200
Abingdon, VA 24211-7664

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

917 Euclid Ave
Bristol, VA 24201-3917
Phone (305) 610-2957

Other practice location 2

1616 N Main St Ste 100B
Marion, VA 24354-4473
Phone (276) 378-3920

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
I20250827004332 VA Practitioner - Obstetrics/Gynecology 0648672881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16000 Johnston Memorial Dr
Suite 200
Abingdon, VA 24211-7664
Phone (276) 628-4335

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101286610VAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Health System Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

16000 Johnston Memorial Dr
Ste 200
Abingdon, VA 24211
Phone (276) 258-1000

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1616 N Main St
Ste 100B
Marion, VA 24354
Phone (276) 378-3920

Interoperability endpoints

  • Direct secure messaging: jenna.lyn.1@12891.direct.athenahealth.com
  • Direct secure messaging: jenna.lyn.1@8967.direct.athenahealth.com
  • Direct secure messaging: jenna.lyn.2@8967.direct.athenahealth.com
  • Direct secure messaging: jlyn254742@balladhealth.medalliesdirect.net

Organizations & group practices 5

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 1

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1841871159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR STE 200",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-628-4335",
            "fax_number": "276-628-3195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242013917",
            "country_code": "US",
            "telephone_number": "305-610-2957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 N Main St Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243544473",
            "country_code": "US",
            "telephone_number": "276-378-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYN",
        "first_name": "JENNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101286610",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "VA",
            "license": "0101286610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.