Individual provider Active NPI

Scottie D Brown, NP

  • Family Nurse Practitioner
  • Abingdon, VA
National Provider Identifier
1972212330
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185516 Issued in VA
Practice address
24530 Falcon Place Blvd Ste 100
Abingdon, VA 24211-7665
Phone
(276) 619-0075
Fax
(276) 619-0077
NPI assigned
Nov 15, 2022
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32596 TN
Family Nurse Practitioner 363LF0000X 0024185516 VA Primary

Addresses

Primary practice location

24530 Falcon Place Blvd Ste 100
Abingdon, VA 24211-7665

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

344 Overlook Dr Ste 200
Lebanon, VA 24266-3436
Phone (276) 883-5900

Other practice location 2

245 Medical Park Dr Ste C
Marion, VA 24354-1100
Phone (276) 378-3300

Other practice location 3

111 W Stone Dr Ste 110
Kingsport, TN 37660-6027
Phone (423) 224-3701

Other practice location 4

1220 Volunteer Pkwy
Bristol, TN 37620-4628
Phone (423) 274-6610

Other practice location 5

2686 W State St
Bristol, TN 37620-1817
Phone (423) 844-0026

Other practice location 6

4600 Fort Henry Dr
Kingsport, TN 37663-2617
Phone (423) 224-3950

Other practice location 7

161 Heart Dr Ste A
Johnson City, TN 37604-2607
Phone (423) 282-0751

Other practice location 8

1497 W Elk Ave Ste 11
Elizabethton, TN 37643-2896
Phone (423) 542-8929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230306001035 VA Practitioner - Nurse Practitioner 5496706632 Reassigns benefits to 2 organizations
I20240909001293 TN Practitioner - Nurse Practitioner 5496706632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, shared by 2 NPIs, 283 clinicians
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians

Practice addresses (Care Compare)

245 Medical Park Dr
Suite C
Marion, VA 24354-1100
Phone (276) 378-3300

24530 Falcon Place Blvd
Suite 100
Abingdon, VA 24211-7665
Phone (276) 619-0075

2686 W State St
Bristol, TN 37620-1817
Phone (423) 844-0026

4600 Fort Henry Dr
Kingsport, TN 37663-2617
Phone (423) 224-3950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32596TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Jan 15, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates Inc Nurse Practitioner CurrentSince Jan 15, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jan 15, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Managgement Corporation CurrentSince Jul 1, 2024 Accepting new patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates Inc Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 15, 2023 Accepting new patients

Locations

1220 Volunteer Pkwy
Bristol, TN 37620
Phone (423) 274-6610

2686 W State St
Bristol, TN 37620
Phone (423) 844-0026

1497 W Elk Ave
Ste 11
Elizabethton, TN 37643
Phone (423) 542-7480

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

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

161 Heart Dr
Ste A
Johnson City, TN 37604
Phone (423) 282-0751

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701

4600 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 224-3950

24530 Falcon Place Blvd
Ste 100
Abingdon, VA 24211
Phone (276) 619-0075

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

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

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

344 Overlook Dr
Ste 200
Lebanon, VA 24266
Phone (276) 883-5900

245 Medical Park Dr
Ste C
Marion, VA 24354
Phone (276) 378-1000

Interoperability endpoints

  • Direct secure messaging: sbrown153055@balladhealth.medalliesdirect.net

Organizations & group practices 9

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 5

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1972212330",
    "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": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24530 FALCON PLACE BLVD STE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117665",
            "telephone_number": "276-619-0075",
            "fax_number": "276-619-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Overlook Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242663436",
            "country_code": "US",
            "telephone_number": "276-883-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Stone Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376606027",
            "country_code": "US",
            "telephone_number": "423-224-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Volunteer Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376204628",
            "country_code": "US",
            "telephone_number": "423-274-6610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2686 W State St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376201817",
            "country_code": "US",
            "telephone_number": "423-844-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Fort Henry Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376632617",
            "country_code": "US",
            "telephone_number": "423-224-3950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Heart Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042607",
            "country_code": "US",
            "telephone_number": "423-282-0751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 W Elk Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432896",
            "country_code": "US",
            "telephone_number": "423-542-8929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SCOTTIE",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32596",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.