Individual provider Active NPI

Diane E Hawkins, MD

  • Psychiatry Physician
  • Bristol, VA
National Provider Identifier
1851406383
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101052743 Issued in VA
Practice address
510 Cumberland Street
Executive Plaza 4TH Floor
Bristol, VA 24201
Phone
(276) 645-4758
Fax
(276) 669-9093
NPI assigned
Aug 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101052743 VA Primary

Addresses

Primary practice location

510 Cumberland Street
Executive Plaza 4TH Floor
Bristol, VA 24201

Mailing address

510 Cumberland Street
Executive Plaza 4TH Floor
Bristol, VA 24201
Phone (276) 645-4758

Other identifiers 2

IdentifierTypeStateIssuer
180264OtherVAANTHEM BCBS
54097963217OtherVAJOHN DEERE

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
I20040426000435 VA Practitioner - Psychiatry 5294721049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Tennessee, HSC, College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Highlands Community ServicesGroup PAC ID 8123014966, 30 clinicians

Practice addresses (Care Compare)

610 Campus Dr
Abingdon, VA 24210-2589
Phone (276) 525-1587

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Community Services CurrentSince Nov 19, 2019 Accepting new patients

Locations

610 Campus Dr
Abingdon, VA 24210
Phone (276) 525-1550

610 Campus Dr
Ste 210
Abingdon, VA 24210
Phone (276) 525-1587

802 Hillman Hwy NE
Abingdon, VA 24210
Phone (276) 628-9504

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851406383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CUMBERLAND STREET",
            "address_2": "EXECUTIVE PLAZA 4TH FLOOR",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24201",
            "telephone_number": "276-645-4758",
            "fax_number": "276-669-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CUMBERLAND STREET",
            "address_2": "EXECUTIVE PLAZA 4TH FLOOR",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24201",
            "telephone_number": "276-645-4758",
            "fax_number": "276-669-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "DIANE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101052743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "180264",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "54097963217",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

Verify at the official NPI Registry.