NPIMap

Individual provider Active NPI

Moira Rafferty, MD

  • Internal Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1124001623
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101230989 Issued in VA
Practice address
2215 Landover PL
Lynchburg, VA 24501-2115
Phone
(434) 947-3944
Fax
(866) 617-8273
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101230989 VA Primary

Addresses

Primary practice location

2215 Landover PL
Lynchburg, VA 24501-2115

Mailing address

PO Box 11889
Lynchburg, VA 24506-1889
Phone (434) 947-3944

Other identifiers 2

IdentifierTypeStateIssuer
110222942OtherVAMEDICARE RAILROAD CARRIER
5858712MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101217000688 VA Practitioner - Internal MedicinePractitioner - Hospitalist 5991887952 Reassigns benefits to 2 organizations
I20251003001448 TX Practitioner - Internal Medicine 5991887952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Virginia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

Hospital & facility affiliations

  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
  • Chinle Comprehensive Health Care Facility Hospital, Chinle, AZ, CCN 030084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101230989VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Sep 1, 2022 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Sep 2, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Sep 2, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Sep 1, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 11, 2016 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Nov 11, 2016 Accepting new patients
Centra Health Inc Past Accepting new patients

Locations

1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800

2215 Landover Pl
Lynchburg, VA 24501
Phone (434) 947-3900

3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668

2015 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 528-2212

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

8644 Sudley Rd
#220
Manassas, VA 20110

Organizations & group practices 8

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 7

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1124001623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11889",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245061889",
            "telephone_number": "434-947-3944",
            "fax_number": "434-544-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 LANDOVER PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012115",
            "telephone_number": "434-947-3944",
            "fax_number": "866-617-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "MOIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101230989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "110222942",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5858712",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.