Active NPI
Bethanie Patton
- Physician Assistant
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4056
- Practice address
- 1 Medical Park Blvd Ste 458W
Bristol, TN 37620-7456 - Phone
- (276) 696-9238
- NPI assigned
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110008535 | VA | |
| Physician Assistant | 363A00000X | 4056 | TN | Primary |
Addresses
Primary practice location
1 Medical Park Blvd Ste 458W
Bristol, TN 37620-7456
Mailing address
119 Burns Ave Apt 5
Lebanon, VA 24266-4543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Emory University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200
24530 Falcon Place Blvd
Abingdon, VA 24211-7665
58 Carroll St
Lebanon, VA 24266-4510
Phone (423) 630-7001
619 W Main St
Lebanon, VA 24266-3809
Phone (276) 415-9160
71 S Flannigan Ave
Lebanon, VA 24266-3809
Phone (276) 415-9160
Hospital & facility affiliations
- Johnston Memorial Hospital
- Russell County Hospital
- Smyth County Community Hospital
- Wellmont Bristol Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4056 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 458W
Bristol, TN 37620
Phone (423) 230-6900
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
2050 Meadowview Pkwy
Kingsport, TN 37660
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1174808216
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
- General Acute Care Hospital
- Lebanon, VA
- NPI 1891973939
-
- General Acute Care Hospital
- Marion, VA
- NPI 1073519377
-
- General Acute Care Hospital
- Marion, VA
- NPI 1194104687
-
- Durable Medical Equipment & Medical Supplies
- Marion, VA
- NPI 1750433389
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1992348254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 BURNS AVE APT 5",
"city": "LEBANON",
"state": "VA",
"postal_code": "242664543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD STE 458W",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207456",
"telephone_number": "276-696-9238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "BETHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-18",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110008535",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "4056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.