Individual provider Active NPI

Virginia Brown Neaville, MD

  • Pediatrics Physician
  • Rogers, AR
National Provider Identifier
1114985801
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C-7123 Issued in AR
Practice address
2708 Rife Medical Lane
Suite 130
Rogers, AR 72758-1452
Phone
(479) 338-5555
Fax
(479) 338-5533
NPI assigned
May 2, 2006
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C-7123 AR Primary

Addresses

Primary practice location

2708 Rife Medical Lane
Suite 130
Rogers, AR 72758-1452

Mailing address

2708 Rife Medical Lane
Suite 130
Rogers, AR 72758-1452
Phone (479) 338-5555

Other names 1

  • Dr. Virginia Brown Melhorn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20100630000771 AR Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9739210030 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Jun 16, 2010 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jun 16, 2010 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2708 S Rife Medical Ln
Ste 130
Rogers, AR 72758
Phone (479) 338-5555

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

4600 Mercy Ln
Ste 110
Springdale, AR 72762
Phone (479) 338-4400

Interoperability endpoints

  • Direct secure messaging: vneaville17373@directc.mercy.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1114985801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 RIFE MEDICAL LANE",
            "address_2": "SUITE 130",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-5555",
            "fax_number": "479-338-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 RIFE MEDICAL LANE",
            "address_2": "SUITE 130",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-5555",
            "fax_number": "479-338-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAVILLE",
        "first_name": "VIRGINIA",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "C-7123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "MELHORN",
            "middle_name": "BROWN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.