Chipley Jones Clarke
Individual provider Active NPI Internal Medicine Physician · Rockingham, VA
NPI 1053015669 · NPPES record last updated Jun 18, 2026
Key facts
- NPI
- 1053015669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0102209880 (VA)
- Practice address
- 2010 Health Campus Dr
Rockingham, VA 22801-8679 - Phone
- (540) 689-1110
- NPI assigned
- Mar 28, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
800 Independence Blvd
FL 5
Virginia Beach, VA 23455-6011
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230626001670 | VA | Order and Referring Only - Internal Medicine |
4587022488 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- chipley.clarke.1@18289.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 0102209880 | VA | Yes |
| Hospitalist Physician | 208M00000X | 0102209880 | VA |
Addresses
Primary practice location
2010 Health Campus Dr
Rockingham, VA 22801-8679
Mailing address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Other practice location 1
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Other names
- Chipley Elizabeth Bader
Other providers in Rockingham, VA
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- Jennifer W Chalker
- Eugene Y Chang
- Elaine A. Clancey
- Erin Clayton
- Trudy Marcelle Colaw
- Bianca Colmenares
- Eleanor Ann Colmenares
- Stephen Michael Colvin
All providers in Rockingham, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.