Organization Active NPI

Lynchburg Nephrology Physicians PLLC

Doing business as Lynchburg Nephrology Physicians

  • Specialist
  • Lynchburg, VA
National Provider Identifier
1053498071
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LYNCHBURG NEPHROLOGY PHYSICIANS PLLC
Doing business as
Lynchburg Nephrology Physicians
Practice address
2091 Langhorne Rd
Lynchburg, VA 24501-1428
Phone
(434) 947-3954
Fax
(434) 947-5944
NPI assigned
Nov 1, 2006
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Amanda Runions, RN
Title
Practice Manager
Phone
(805) 345-5956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2091 Langhorne Rd
Lynchburg, VA 24501-1428

Mailing address

2091 Langhorne Rd
Lynchburg, VA 24501-1428
Phone (434) 947-3954

Other identifiers 1

IdentifierTypeStateIssuer
30015178890001MedicaidVA

Other names 1

  • Lynchburg Nephrology Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000514 VA Part B Supplier - Clinic/Group Practice 1355313610 Receives reassigned benefits from 15 practitioners
Practice locations: Lynchburg, VA

National Provider Directory

National Provider Directory

Locations

2091 Langhorne Rd
Ste A
Lynchburg, VA 24501

103 Clifton St
Lynchburg, VA 24501
Phone (434) 455-7100

2091 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 947-3954

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1053498071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011428",
            "telephone_number": "434-947-3954",
            "fax_number": "833-973-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011428",
            "telephone_number": "434-947-3954",
            "fax_number": "434-947-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCHBURG NEPHROLOGY PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "RUNIONS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "805-345-5956",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015178890001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynchburg Nephrology Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.