Individual provider Active NPI

Timothy Andrew Presnell, MD

  • Obstetrics & Gynecology Physician
  • Richlands, VA
National Provider Identifier
1013908466
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101036584 Issued in VA
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

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6230857MedicaidVA
0092140-000MedicaidWV
160047039OtherRAILROAD MEDICARE
003269OtherANTHEM BCBS
64664584MedicaidKY

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
I20100109000439 VA Practitioner - Obstetrics/Gynecology 8820984248 Reassigns benefits to 1 organization

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
Clinch Valley Physicians Associates LLCGroup PAC ID 9133146111, 24 clinicians

Practice addresses (Care Compare)

398 Clinic Rd
Cedar Bluff, VA 24609-9413
Phone (276) 964-6771

Hospital & facility affiliations

  • Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060

National Provider Directory

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

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Clinch Valley Physicians Associates LLC CurrentSince Jul 2, 2013 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.