NPIMap

Organization Active NPI

Anchor Healthcare, PLC

Doing business as Charlottesville Internal Medicine

  • Internal Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1194361840
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANCHOR HEALTHCARE, PLC
Doing business as
Charlottesville Internal Medicine
Practice address
1410 Incarnation Dr Ste 205a
Charlottesville, VA 22901-5708
Phone
(434) 260-0302
NPI assigned
Nov 18, 2019
Last updated
Aug 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ANCHOR HEALTHCARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Amanda Burns
Title
Administrator
Phone
(434) 227-7588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1410 Incarnation Dr Ste 205a
Charlottesville, VA 22901-5708

Mailing address

1410 Incarnation Dr Ste 205a
Charlottesville, VA 22901-5708
Phone (434) 260-0302

Other names 1

  • Charlottesville Internal Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803001709 VA Part B Supplier - Clinic/Group Practice 9032180054 Receives reassigned benefits from 21 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charlottesville, VA; Orange, VA; Free Union, VA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Anchor Healthcare PLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1194361840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 INCARNATION DR STE 205A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229015708",
            "telephone_number": "434-260-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 INCARNATION DR STE 205A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229015708",
            "telephone_number": "434-260-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR HEALTHCARE, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANCHOR HEALTHCARE, PLC",
        "enumeration_date": "2019-11-18",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "434-227-7588"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlottesville Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.