Organization Active NPI

Danville Neurology Associates, Inc.

  • Neurology Physician
  • Danville, VA
National Provider Identifier
1104950427
Registry record updated Oct 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
DANVILLE NEUROLOGY ASSOCIATES, INC.
Practice address
129 Broad St
Suite B
Danville, VA 24541-2301
Phone
(434) 791-2600
Fax
(434) 792-5347
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2022

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

Authorized official

Name
Dr. Victor Owusu-Yaw, M.D.NPI 1669518205
Title
Owner
Phone
(434) 791-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

129 Broad St
Suite B
Danville, VA 24541-2301

Mailing address

129 Broad St
Suite B
Danville, VA 24541-2301
Phone (434) 791-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251222002742 VA Part B Supplier - Clinic/Group Practice 9335166768 Receives reassigned benefits from 3 practitioners
Practice locations: Danville, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2004387Danville Neurology Assoc, Inc129 Broad Street - #B, Danville, VA 24541Certificate of waiverMar 2, 2028

National Provider Directory

National Provider Directory

Locations

129 Broad St
Ste B
Danville, VA 24541
Phone (434) 791-2600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664668800000",
    "number": "1104950427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BROAD ST",
            "address_2": "SUITE B",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412301",
            "telephone_number": "434-791-2600",
            "fax_number": "434-792-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BROAD ST",
            "address_2": "SUITE B",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412301",
            "telephone_number": "434-791-2600",
            "fax_number": "434-792-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE NEUROLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-10-02",
        "certification_date": "2022-10-02",
        "status": "A",
        "authorized_official_last_name": "OWUSU-YAW",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-791-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.