NPIMap

Individual provider Active NPI

Logan David Kinch, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Charlottesville, VA
National Provider Identifier
1013302595
Registry record updated Jul 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0101269646 Issued in VA
Practice address
545 Ray C Hunt Dr Ste 316
Charlottesville, VA 22903-2981
Phone
(434) 243-5676
Fax
(434) 243-5689
NPI assigned
Apr 1, 2015
Last updated
Jul 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101269646 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101269646 VA Primary

Addresses

Primary practice location

545 Ray C Hunt Dr Ste 316
Charlottesville, VA 22903-2981

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

1215 Lee St
Charlottesville, VA 22908-1447
Phone (434) 243-5676

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkinch437982@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200826002207 VA Practitioner - Pain ManagementPractitioner - Anesthesiology 6608182274 Reassigns benefits to 1 organization
I20210901003970 SC Practitioner - Pain Management 6608182274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Wayne State University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Pain and Spine Center LLCGroup PAC ID 1153868211, 4 clinicians
Randb Associates IncGroup PAC ID 8224437330, 3 clinicians

Practice addresses (Care Compare)

38 Sheridan Park Cir
Suite F
Bluffton, SC 29910-7023
Phone (843) 757-6744

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Aug 4, 2020 Accepting new patients
Southern Coast Specialists, LLC Pain Medicine CurrentSince Sep 1, 2021 Accepting new patients
Coastal Pain & Spine Center LLC Pain Medicine CurrentSince Oct 1, 2024 Accepting new patients
Southern Coast Specialists, LLC Pain Medicine CurrentSince Sep 1, 2021 Accepting new patients
Seaside Spine Specialists LLC Pain Medicine CurrentSince Feb 23, 2022 Accepting new patients
R&B Associates Inc. Pain Medicine CurrentSince Apr 1, 2023 Accepting new patients
University of Chicago Medical Center Past Accepting new patients

Locations

1055 Ribaut Rd
Ste 30
Beaufort, SC 29902
Phone (843) 476-4702

38 Sheridan Park Cir
Ste F
Bluffton, SC 29910
Phone (843) 757-6744

222 Pembroke Dr
Ste 101
Hilton Head, SC 29926
Phone (843) 757-6744

9565 Highway 78
Bldg 100
Ladson, SC 29456
Phone (843) 553-2477

16 Okatie Center Blvd S
Ste 201
Okatie, SC 29909
Phone (843) 476-4702

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

545 Ray C Hunt Dr
Ste 316
Charlottesvle, VA 22903
Phone (434) 243-5676

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJIGCD
  • Direct secure messaging: kinch.logan.014.0400021@cpsc.meditab.direct-ci.com
  • Direct secure messaging: kinch.logan.018.0400021@cpsc.meditab.direct-ci.com
  • Direct secure messaging: lkinch437982@direct.healthsystem.virginia.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627689600000",
    "number": "1013302595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 RAY C HUNT DR STE 316",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032981",
            "telephone_number": "434-243-5676",
            "fax_number": "434-243-5689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229081447",
            "country_code": "US",
            "telephone_number": "434-243-5676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCH",
        "first_name": "LOGAN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101269646",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101269646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkinch437982@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "545 Ray C Hunt Dr Ste 316",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229032981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.