NPIMap

Individual provider Active NPI

Cortney Farmer, DO

  • Family Medicine Physician
  • Richlands, VA
National Provider Identifier
1174987069
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102205546 Issued in VA
Practice address
1 Clinic Dr
Richlands, VA 24641-1102
Phone
(276) 964-6771
NPI assigned
Apr 7, 2016
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 0102205546 VA Primary

Addresses

Primary practice location

1 Clinic Dr
Richlands, VA 24641-1102

Mailing address

127 And St
Pounding Mill, VA 24637-4103
Phone (276) 970-5005

Other practice location 1

208 Medical Park Blvd
Bristol, TN 37620-7343
Phone (423) 990-3045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190822000003 VA Practitioner - Family Practice 9032447552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

398 Clinic Rd
Cedar Bluff, VA 24609-9413
Phone (276) 964-6771

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102205546VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Valley Physicians Associates LLC Current Accepting new patients
Clinch Professional Physician Services LLC Family Medicine CurrentSince Oct 22, 2020 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Oct 22, 2020 Accepting new patients
Preferred Hospice Inc. Family Medicine CurrentSince Apr 10, 2024 Accepting new patients
Clinch Valley Physicians Associates LLC CurrentSince Sep 1, 2019 Accepting new patients
Clinch Valley Physicians Inc Past Accepting new patients
Virginia in-Home Partner-XII, LLC PastSince Apr 10, 2024 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

128 Glenwood St
Cedar Bluff, VA 24609
Phone (276) 596-9181

398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600

1963 2nd St
Richlands, VA 24641
Phone (276) 596-9181

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Legacy Hospice & Palliative CareRichlands, VA, CCN 491572 Hospice Corporate Director Jan 5, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Preferred Hospice Inc.

    dba Legacy Hospice & Palliative Care

    • Hospice and Palliative Medicine (Internal Medicine) Physician
    • Cedar Bluff, VA
    • NPI 1730293614

    Corporate Director

    CMS ownership

Organizations & group practices 7

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.

Hospital & facility affiliations 10

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1174987069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 AND ST",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246374103",
            "telephone_number": "276-970-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLINIC DR",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246411102",
            "telephone_number": "276-964-6771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207343",
            "country_code": "US",
            "telephone_number": "423-990-3045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARMER",
        "first_name": "CORTNEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

Verify at the official NPI Registry.