Active NPI
Timothy Andrew Presnell, MD
- Obstetrics & Gynecology Physician
- Richlands, VA
National Provider Identifier
1013908466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101036584
- Practice address
- 1 Clinic Dr
Claypool Hill
Richlands, VA 24641-1102 - Phone
- (276) 964-6771
- Fax
- (276) 964-1319
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101036584 | VA | Primary |
Addresses
Primary practice location
1 Clinic Dr
Claypool Hill
Richlands, VA 24641-1102
Mailing address
PO Box Cvpi
Richlands, VA 24641-1100
Phone (276) 964-6771
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6230857 | Medicaid | VA | |
| 0092140-000 | Medicaid | WV | |
| 160047039 | Other | RAILROAD MEDICARE | |
| 003269 | Other | ANTHEM BCBS | |
| 64664584 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
398 Clinic Rd
Cedar Bluff, VA 24609-9413
Phone (276) 964-6771
Hospital & facility affiliations
- Clinch Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinch Valley Physicians Associates LLC | Current | Accepting new patients | |
| Clinch Valley Physicians Associates LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Clinch Valley Physicians Inc | Past | Accepting new patients | |
| Clinch Valley Physicians Inc | Past | Accepting new patients |
Locations
398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Richlands, VA
- NPI 1104265214
Obstetrics & Gynecology
-
- Rural Health Clinic/Center
- Cedar Bluff, VA
- NPI 1821339540
-
- Clinical Medical Laboratory
- Richlands, VA
- NPI 1669454781
-
- Multi-Specialty Clinic/Center
- Richlands, VA
- NPI 1912980855
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richlands, VA
- NPI 1871534297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1013908466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX CVPI",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "246411100",
"telephone_number": "276-964-6771",
"fax_number": "276-964-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CLINIC DR",
"address_2": "CLAYPOOL HILL",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "246411102",
"telephone_number": "276-964-6771",
"fax_number": "276-964-1319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESNELL",
"first_name": "TIMOTHY",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101036584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6230857",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0092140-000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160047039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "003269",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64664584",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.