Individual provider Active NPI

Claiborne Gooch Whitworth IV, MD

  • Urology Physician
  • Lexington, VA
National Provider Identifier
1073592796
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101049835 Issued in VA
Practice address
100 Spotswood Dr
Lexington, VA 24450-2454
Phone
(540) 463-7108
Fax
(540) 462-2923
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101049835 VA Primary

Addresses

Primary practice location

100 Spotswood Dr
Lexington, VA 24450-2454

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715

Other practice location 1

155 Riverbend Dr
Charlottesville, VA 22911-8607
Phone (434) 295-0184

Other identifiers 3

IdentifierTypeStateIssuer
010080576MedicaidVA
137919OtherANTHEM/BLUE CROSS
54-0892025OtherTAX ID

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
I20040603000139 VA Practitioner - Urology 0749193753 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Piedmont Stone Center PLLCGroup PAC ID 2961315718, 71 clinicians

Practice addresses (Care Compare)

100 Spottswood Rd
Carilion Clinic General Surgery
Lexington, VA 24450-2454
Phone (540) 463-7108

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (336) 765-6373

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Sep 28, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Sep 28, 2020 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Sep 28, 2020 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Sep 28, 2020 Accepting new patients
Piedmont Stone Center PLLC Urology CurrentSince Sep 18, 2010 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

1907 S Hawthorne Rd
Winston Salem, NC 27103

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

1040 Main St
Danville, VA 24541
Phone (434) 792-1433

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

100 Spotswood Dr
Lexington, VA 24450
Phone (540) 463-7108

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: cwhitworth129557@direct.carilionclinic.org

Organizations & group practices 6

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 5

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1073592796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPOTSWOOD DR",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502454",
            "telephone_number": "540-463-7108",
            "fax_number": "540-462-2923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229118607",
            "country_code": "US",
            "telephone_number": "434-295-0184",
            "fax_number": "434-295-2463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITWORTH",
        "first_name": "CLAIBORNE",
        "middle_name": "GOOCH",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101049835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010080576",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BLUE CROSS",
            "identifier": "137919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "54-0892025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.