Individual provider Active NPI

Jeffrey Gardner Neal, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Abingdon, VA
National Provider Identifier
1942384433
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
LL25434 Issued in SC
Practice address
176 Valley St W
Abingdon, VA 24210-2836
Phone
(276) 628-9547
Fax
(276) 628-8221
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X LL25434 SC Primary

Addresses

Primary practice location

176 Valley St W
Abingdon, VA 24210-2836

Mailing address

P.O. Box 1328
Abingdon Ear, Nose & Throat Associates, P.C.
Abingdon, VA 29403-6645
Phone (276) 628-9547

Other identifiers 2

IdentifierTypeStateIssuer
303202OtherVAANTHEM
1942384433MedicaidVA

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
I20081117000519 VA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8123188448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Medical University of South Carolina College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abingdon Ear Nose and Throat Associates PCGroup PAC ID 3971674656, 2 clinicians

Practice addresses (Care Compare)

176 Valley St NW
Abingdon, VA 24210-2859
Phone (276) 628-9547

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.64 of 100Reported as group
Quality
85.28
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL25434SCMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abingdon Ear Nose & Throat Associates PC CurrentSince Oct 1, 2007 Accepting new patients

Locations

176 Valley St NW
Abingdon, VA 24210
Phone (276) 628-9547

Interoperability endpoints

  • Direct secure messaging: jneal@abingdonent.emadirect.md

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 and National Provider Directory roles.

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1942384433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1328",
            "address_2": "ABINGDON EAR, NOSE & THROAT ASSOCIATES, P.C.",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "294036645",
            "telephone_number": "276-628-9547",
            "fax_number": "276-628-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 VALLEY ST W",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102836",
            "telephone_number": "276-628-9547",
            "fax_number": "276-628-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "JEFFREY",
        "middle_name": "GARDNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "SC",
            "license": "LL25434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "303202",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942384433",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.