Individual provider Active NPI

Sally- Ann Tracy McIntosh, MD

  • Internal Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1003915851
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101249033 Issued in VA
Practice address
2215 Landover PL
Lynchburg, VA 24501-2115
Phone
(434) 947-3944
Fax
(866) 617-8273
NPI assigned
Sep 21, 2006
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A95180 CA
Hospitalist Physician 208M00000X 0101249033 VA
Hospitalist Physician 208M00000X A95180 CA
Internal Medicine Physician 207R00000X 0101249033 VA Primary

Addresses

Primary practice location

2215 Landover PL
Lynchburg, VA 24501-2115

Mailing address

2215 Landover PL
Lynchburg, VA 24501-2115
Phone (434) 947-3944

Other practice location 1

100 Sentara Cir Rm 2C
Williamsburg, VA 23188-5713
Phone (757) 984-7217

Other names 1

  • Sally- Ann T McIntosh Other name

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
I20110415000517 VA Practitioner - Internal MedicinePractitioner - Hospitalist 5193887214 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Sound Physicians Intensivists of Virginia LLC CurrentSince Aug 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

100 Sentara Cir
Rm 2C
Williamsburg, VA 23188
Phone (757) 984-7217

100 Sentara Cir
Ste 2C
Williamsburg, VA 23188
Phone (757) 984-7217

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1003915851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 LANDOVER PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012115",
            "telephone_number": "434-947-3944",
            "fax_number": "866-617-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 LANDOVER PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012115",
            "telephone_number": "434-947-3944",
            "fax_number": "866-617-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Sentara Cir Rm 2C",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885713",
            "country_code": "US",
            "telephone_number": "757-984-7217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "SALLY- ANN",
        "middle_name": "TRACY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A95180",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101249033",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A95180",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101249033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY- ANN",
            "last_name": "MCINTOSH",
            "middle_name": "T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.