DR. JEFFREY BLACKWELL MD, PHD
NPI 1013544774
Family Medicine in Meadowview, VA

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
12180 ALDER ST, MEADOWVIEW, VA 24361(276) 695-0205 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2024, Jan 4, 2024, Aug 21, 2023 and 1 more (4 updates tracked since 2020).

About Dr. Jeffrey Blackwell Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY BLACKWELL MD, PHD (NPI 1013544774) is an individual family medicine provider in Meadowview, Virginia, licensed in Virginia (0101278580) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1013544774
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY BLACKWELLCredential: MD, PHD
Location Address12180 ALDER STMeadowview, VA 24361
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateFebruary 11, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
NPI 1013544774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101278580
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12180 ALDER ST, Meadowview, VA 24361

Secondary Practice Locations 3

Location 1636 S Monte Vista DrGlade Spring, VA 24340-2712 · Phone (276) 429-5163
Location 216000 Johnston Memorial Dr Ste 213Abingdon, VA 24211-0001 · Phone (276) 258-2600
Location 31785 W Lee HwyWytheville, VA 24382-1437 · Phone (276) 228-6499

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey Blackwell Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961826177
PECOS Enrollment IDI20230802002747
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Russell County Hospital

Acute Care Hospitals · Lebanon, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490002
Location58 Carroll StreetLebanon, VA 24266 · Russell County
Emergency services

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490038
Location245 Medical Park DriveMarion, VA 24354 · Smyth County
Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$184.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
12180 ALDER ST
EMORY, VA 24361
Internal Medicine
12180 ALDER ST
MEADOWVIEW, VA 24361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Blackwell's NPI number?

The NPI number for Jeffrey Blackwell is 1013544774. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Jeffrey Blackwell located?

Jeffrey Blackwell practices at 12180 Alder St, Meadowview, VA 24361. The listed phone number is (276) 695-0205.

What is Jeffrey Blackwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeffrey Blackwell enrolled in Medicare?

Yes. Jeffrey Blackwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffrey Blackwell accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Jeffrey Blackwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeffrey Blackwell affiliated with any hospitals?

According to CMS data, Jeffrey Blackwell is affiliated with Wellmont Bristol Regional Medical Center, Johnson City Medical Center, Russell County Hospital, Smyth County Community Hospital and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Blackwell was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.