Individual provider Active NPI

Bethanie Patton

  • Physician Assistant
  • Bristol, TN
National Provider Identifier
1992348254
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4056 Issued in TN
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

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 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
I20200430002611 TN Practitioner - Physician Assistant 6608206859 Reassigns benefits to 1 organization
I20230429000109 VA Practitioner - Physician Assistant 6608206859 Reassigns benefits to 1 organization

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
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

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 Hospital, Abingdon, VA, CCN 490053
  • Russell County Hospital Hospital, Lebanon, VA, CCN 490002
  • Smyth County Community Hospital Hospital, Marion, VA, CCN 490038
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4056TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc CurrentSince May 7, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Feb 13, 2020 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.