Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kellie Miranda Smith Blackwell, DO

Individual provider Family Medicine Physician · NPI 1104053891

Dr. Kellie Miranda Smith Blackwell, DO is a Family Practice in Abingdon, Virginia. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2009, 17 years ago. Practices with State of Franklin Healthcare Associates, PLLC, a 265-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
17
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
TN, VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

117 Cook St
Abingdon, VA 24210-3203
Phone: (276) 619-5052
Fax: (276) 619-5115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 320 Steeles Rd, Bristol, TN 37620-9532 — (423) 390-1900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102203141 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5527 (TN)

Record details

NPI number1104053891
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 19, 2009
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024
Mailing addressPo Box 3889, Johnson City, TN 37602-3889

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2009 (17 years in practice)
Group practice State Of Franklin Healthcare Associates, Pllc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Abingdon