ABINGDON INTERNAL MEDICINE PC
NPI 1811983505
Internal Medicine in Abingdon, VA

Active since September 27, 2005CLIA Certified · 2 labs
322 EVALLEY ST, ABINGDON, VA 24210(276) 628-1106(276) 676-0215 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Abingdon Internal Medicine Pc NPPES

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

ABINGDON INTERNAL MEDICINE PC (NPI 1811983505) is a healthcare organization registered as an internal medicine in Abingdon, Virginia and active in the NPI registry since September 2005. The organization holds 2 active CLIA laboratory certificates and lists Kim Andis, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1811983505
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameABINGDON INTERNAL MEDICINE PC
Location Address322 EVALLEY STAbingdon, VA 24210
Mailing Address322 E Valley StAbingdon, VA 24210 · (276) 628-1106 · Fax (276) 676-0215
Fax(276) 676-0215
Organization SubpartNo
Authorized OfficialKim AndisOffice Administrator · (276) 628-1106
Enumeration DateSeptember 27, 2005
Last NPPES UpdateOctober 24, 2016
✔ NPI 1811983505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
322 EVALLEY ST, Abingdon, VA 24210

Other Identifiers 3

Medicaid6064591VA
Medicare PINC01138VA
Medicare UPINB60209VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abingdon Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Abingdon Internal Medicine PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Internal Medicine
NPI 1548339989
322 EAST VALLEY STREET
Abingdon, VA 24210
(276) 628-1106
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730699505
322 VALLEY ST NE
Abingdon, VA 24210
(276) 628-1106
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1942296645
351 COURT ST
Abingdon, VA 24210
(276) 676-3360
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1275158925
16000 JOHNSTON MEMORIAL DR STE 200
Abingdon, VA 24211
(276) 628-4335
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1538815741
15181 BIG KNOB RD
Bristol, VA 24202
(276) 698-6441
✔ PECOS✔ Accepts Medicare9.4 mi
Internal Medicine
NPI 1235112558
308 W MAIN ST
Saltville, VA 24370
(276) 496-4433
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1982640140
273 HIGHWAY 11 E
Bulls Gap, TN 37711
(423) 393-4146
✔ PECOS70 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0232148

Abingdon Internal Medicine · Abingdon, VA
Active · expires Sep 22, 2027
CLIA Number49D0232148
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorDeborah M. Parks
Laboratory Phone(276) 628-1106
Laboratory LocationAbingdon Internal Medicine322 East Valley St, Abingdon, VA 24210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D0998001

Abingdon Internal Medicine A Department Of Johnston Memorial Hospital · Abingdon, VA
Active · expires Apr 1, 2028
CLIA Number49D0998001
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorJohathan T. Swank
Laboratory Phone(276) 258-2600
Laboratory LocationAbingdon Internal Medicine A Department Of Johnston Memorial Hospital16000 Johnston Memorial Drive Suite 213 Attn Robin Gilliam, Abingdon, VA 24211
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Abingdon Internal Medicine PC's NPI number?

The NPI number for Abingdon Internal Medicine PC is 1811983505. It was assigned to this organization in the NPPES registry on September 27, 2005.

Where is Abingdon Internal Medicine PC located?

Abingdon Internal Medicine PC is located at 322 Evalley St, Abingdon, VA 24210. The listed phone number is (276) 628-1106.

What is Abingdon Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abingdon Internal Medicine PC enrolled in Medicare?

Yes. Abingdon Internal Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Abingdon Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Abingdon Internal Medicine PC. A 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 the clinician's services. The largest specialties are Internal Medicine (3), Nurse Practitioner (3) and Pulmonary Disease (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Abingdon Internal Medicine PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Abingdon Internal Medicine PC was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.