Individual provider Active NPI

Sheri L. Payne Tignor

  • Family Medicine Physician
  • Glen Allen, VA
National Provider Identifier
1184100307
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0024176326 Issued in VA
Practice address
10412 Washington Hwy
Glen Allen, VA 23059-1918
Phone
(804) 248-4728
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0024176326 VA Primary

Addresses

Primary practice location

10412 Washington Hwy
Glen Allen, VA 23059-1918

Mailing address

10412 Washington Hwy
Glen Allen, VA 23059-1918
Phone (804) 248-4728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190104001393 VA Practitioner - Nurse Practitioner 4880930353 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024176326VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthvisions MD Inc Family Medicine CurrentSince Oct 20, 2018 Accepting new patients

Locations

1230 Alverser Dr
Ste 100
Midlothian, VA 23113
Phone (804) 423-9919

Interoperability endpoints

  • Direct secure messaging: sheri.payne.tignor.1@14940.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1184100307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 WASHINGTON HWY",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591918",
            "telephone_number": "804-248-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 WASHINGTON HWY",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591918",
            "telephone_number": "804-248-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE TIGNOR",
        "first_name": "SHERI",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024176326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.