DR. JEFFREY BLACKWELL MD, PHD
NPI 1013544774
Family Medicine in Meadowview, VA
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
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jeffrey Blackwell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glade Spring, VA 24340
- Reassigned Medicare billing, Virginia enrollment
- 5 clinicians in this Medicare group
Abingdon, VA 24211
- Reassigned Medicare billing, Virginia enrollment
- 337 clinicians in this Medicare group
Abingdon, VA 24211
- Reassigned Medicare billing, Virginia enrollment
- 262 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TNJohnson City Medical Center
Acute Care Hospitals · Johnson City, TNRussell County Hospital
Acute Care Hospitals · Lebanon, VASmyth County Community Hospital
Acute Care Hospitals · Marion, VAJohnston Memorial Hospital
Acute Care Hospitals · Abingdon, VAPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Jeffrey Blackwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Blackwell reassigns Medicare benefits to 3 organizations: Smyth County Community Hospital (Glade Spring, VA), Blue Ridge Medical Management Corporation (Abingdon, VA) and Wellmont Medical Associates Inc (Abingdon, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Blackwell accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 8 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.
# Dr. Jeffrey Blackwell, MD, PHD · NPI 1013544774
Family Medicine physician in Meadowview, Virginia. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1013544774 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0101278580 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 12180 ALDER ST, Meadowview, VA 24361
- **Phone:** (276) 695-0205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Smyth County Community Hospital (NPI 1174529242, Glade Spring, VA); Blue Ridge Medical Management Corporation (NPI 1073323705, Abingdon, VA); Wellmont Medical Associates Inc (NPI 1174808216, Abingdon, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** East Tennessee State University Quillen College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** February 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013544774) · Data from the CMS NPPES public registry.