NPIMap

Organization Active NPI

Acac Health, LLC

Doing business as Acac

  • Registered Dietitian
  • Charlottesville, VA
National Provider Identifier
1194365445
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ACAC HEALTH, LLC
Doing business as
Acac
Practice address
500 Albemarle SQ
Charlottesville, VA 22901-7405
Phone
(434) 978-3800
Fax
(434) 974-9898
NPI assigned
Jan 14, 2020
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Mr. Chris Craytor
Title
President
Phone
(434) 249-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

500 Albemarle SQ
Charlottesville, VA 22901-7405

Mailing address

455 2ND St SE Ste 301
Charlottesville, VA 22902-5697

Other names 1

  • ACAC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20201130001362 VA Part B Supplier - Clinic/Group Practice 4082025846 Receives reassigned benefits from 2 practitioners
Practice locations: Midlothian, VA; Glen Allen, VA; Charlottesville, VA
O20240524003168 VA MDPP Supplier - in-Person MDPP Supplier 4082025846 Practice locations: Charlottesville, VA; Glen Allen, VA; Midlothian, VA
O20240703000100 PA MDPP Supplier - in-Person MDPP Supplier 4082025846 Practice locations: Wayne, PA; West Chester, PA
O20250217000041 SC MDPP Supplier - in-Person MDPP Supplier 4082025846 Practice locations: Greenville, SC; Simpsonville, SC

National Provider Directory

National Provider Directory

Locations

317 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 254-5899

111 Monticello Ave
Charlottesville, VA 22902
Phone (434) 465-6836

455 2nd St SE
Ste 301
Charlottesville, VA 22902

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1194365445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 2ND ST SE STE 301",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-978-3800",
            "fax_number": "434-974-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACAC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "CRAYTOR",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-249-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACAC",
            "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 Jan 14, 2020; 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.