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DR. WILLIAM BLACKWELL DO
NPI 1508652835
Student in an Organized Health Care Education/Training Program in Abingdon, VA

Active since April 15, 2025PECOS Enrolled
613 CAMPUS DR STE 200, ABINGDON, VA 24210(276) 628-1186(276) 628-8507 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. William Blackwell Do NPPES

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

DR. WILLIAM BLACKWELL DO (NPI 1508652835) is an individual student in an organized health care education/training program in Abingdon, Virginia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508652835
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WILLIAM BLACKWELLCredential: DO
Location Address613 CAMPUS DR STE 200Abingdon, VA 24210-9703
Mailing Address16000 Johnston Memorial DrAbingdon, VA 24211-7664
Phone(276) 628-1186
Fax(276) 628-8507
Sole ProprietorNo
Enumeration DateApril 15, 2025
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1508652835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
613 CAMPUS DR STE 200, Abingdon, VA 24210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Blackwell Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MRS. LAURA MARIE WALTS M.A., LPC
Counselor (Professional)
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
MISS JENNIFER NICOLE DEAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
MAJD SHAMMA MD
Student in an Organized Health Care Education/Training Program
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
SAMAR ALKHRAIT MD
Student in an Organized Health Care Education/Training Program
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
MR. WILLIAM BURCH HAYNES JR. M.ED.
Counselor (Professional)
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
JUSTIN MATHEW ADAMS NP-C
Nurse Practitioner (Family)
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-5141
BRIANNA BURCHFIELD DO
Family Medicine
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
DR. MENA G ISSA MD
Student in an Organized Health Care Education/Training Program
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186

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 William Blackwell's NPI number?

The NPI number for William Blackwell is 1508652835. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is William Blackwell located?

William Blackwell practices at 613 Campus Dr Ste 200, Abingdon, VA 24210. The listed phone number is (276) 628-1186.

What is William Blackwell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is William Blackwell enrolled in Medicare?

Yes. William Blackwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Blackwell was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.