NPIMap

Organization Active NPI

Spero Health of Virginia, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Martinsville, VA
National Provider Identifier
1104465103
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
SPERO HEALTH OF VIRGINIA, LLC
Practice address
314 Fairy Street Ext
Martinsville, VA 24112-1913
Phone
(276) 201-1647
Fax
(276) 226-2643
NPI assigned
Dec 23, 2019
Last updated
Jan 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Mr. Richard Dulany Adams
Title
Cfo
Phone
(615) 265-0371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

314 Fairy Street Ext
Martinsville, VA 24112-1913

Mailing address

155 Franklin Rd Ste 430
Brentwood, TN 37027-4646
Phone (615) 265-0371

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220520000859 VA Part B Supplier - Clinic/Group Practice 5193102788 Receives reassigned benefits from 35 practitioners
Practice locations: Galax, VA; Woodstock, VA; Winchester, VA; Staunton, VA; Roanoke, VA; Richmond, VA; Petersburg, VA; Newport News, VA…

National Provider Directory

National Provider Directory

Locations

4037 Taylor Rd
Ste B
Chesapeake, VA 23321
Phone (757) 484-9441

789 Piney Forest Rd
Ste 1
Danville, VA 24540
Phone (434) 208-2987

315 W 10th St
Ste B
Front Royal, VA 22630
Phone (540) 779-7639

729 Thimble Shoals Blvd
Ste 5E
Newport News, VA 23606
Phone (757) 785-0407

338 Coeburn Ave SW
Ste 336
Norton, VA 24273
Phone (276) 325-7608

2709 Byron St
Richmond, VA 23223
Phone (804) 525-1818

5631 S Laburnum Ave
Richmond, VA 23231
Phone (615) 265-0380

2502 Broadway Ave SW
Roanoke, VA 24014
Phone (540) 329-5325

110 E High St
Woodstock, VA 22664

110 E High St
#B
Woodstock, VA 22664
Phone (540) 779-7491

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1104465103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 FRANKLIN RD STE 430",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274646",
            "telephone_number": "615-265-0371",
            "fax_number": "615-844-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FAIRY STREET EXT",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121913",
            "telephone_number": "276-201-1647",
            "fax_number": "276-226-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPERO HEALTH OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DULANY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-265-0371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.