Individual provider Active NPI

Pamela McGhee Somervell, M.D.

  • Family Medicine Physician
  • Saltville, VA
National Provider Identifier
1003846833
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101245709 Issued in VA
Practice address
308 W Main St
Saltville, VA 24370-3112
Phone
(276) 496-4433
Fax
(276) 496-5923
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01064480A IN
Family Medicine Physician 207Q00000X 0101245709 VA Primary

Addresses

Primary practice location

308 W Main St
Saltville, VA 24370-3112

Mailing address

PO Box 729
Saltville, VA 24370-0729
Phone (276) 496-4433

Other identifiers 2

IdentifierTypeStateIssuer
0101245709OtherVAPHYSICIAN LICENSE
01064480AOtherINPHYSICIAN LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090729000962 VA Practitioner - Family PracticePractitioner - Addiction Medicine 8527133214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Saint Louis University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Virginia Community Health Systems IncorporatedGroup PAC ID 4880502707, 29 clinicians

Practice addresses (Care Compare)

308 W Main St
Saltville, VA 24370-3112
Phone (276) 496-4433

319 5TH Ave
Saltville, VA 24370-3418
Phone (276) 496-4492

PO Box
Suite 729
Saltville, VA 24370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01064480AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Virginia Community Health Systems Inc. CurrentSince Jun 1, 2017 Accepting new patients
Memorial Hospital of South Bend Past Accepting new patients

Locations

319 5th Ave
Saltville, VA 24370

308 W Main St
Saltville, VA 24370
Phone (276) 496-4433

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1003846833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243700729",
            "telephone_number": "276-496-4433",
            "fax_number": "276-496-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W MAIN ST",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243703112",
            "telephone_number": "276-496-4433",
            "fax_number": "276-496-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERVELL",
        "first_name": "PAMELA",
        "middle_name": "MCGHEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01064480A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101245709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "0101245709",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE #",
            "identifier": "01064480A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltville, VA

Sources for this page

Verify at the official NPI Registry.