Stuart Community Hospital Inc
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Stuart, VA
NPI 1194511568 · NPPES record last updated May 22, 2026
Key facts
- NPI
- 1194511568
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- STUART COMMUNITY HOSPITAL INC
- Practice address
- 18688 Jeb Stuart Hwy
Stuart, VA 24171-1559 - Phone
- (336) 944-6420
- NPI assigned
- Apr 15, 2025
- Organization subpart
- No
Authorized official
- Name
- Larry Henson
- Title
- RCD, Authorized Official
- Phone
- (336) 944-6420
Owners & managing parties with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Related certifications (CCN) 1
Facilities with the same owner 10
Practitioners 2
-
Jonathan Robert Nogueira, D.O.
Affiliated clinicians 12
-
Ryan C Hubbard, D.O.
-
Jonathan Robert Nogueira, D.O.
-
Casey Davis, MD
-
Jason W Edsall, M.D.
-
Kellie Christine Freeman, PA-C
-
Gregory Kwon, DO
-
Amy Lela Martin, NP-C
-
Varun Kumar Menon, M.D.
-
Benjamin Samson Schmidt, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA
Hospital certification: CCN 491310
- Legal name
- STUART COMMUNITY HOSPITAL INC
- Doing business as
- STUART COMMUNITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Feb 5, 2026
- Last certification
- Feb 5, 2026
- Beds
- 25
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Hospital certification: CCN 49Z310
- Legal name
- STUART COMMUNITY HOSPITAL INC
- Doing business as
- STUART COMMUNITY HOSPITAL
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Braden Health Inc |
5% Or Greater Direct Ownership Interest | Feb 13, 2025 | 100% |
| Beau R Braden |
Corporate Director |
Feb 13, 2025 | |
| Brooks Braden |
Corporate Director |
Feb 13, 2025 | |
| Corporate Officer |
Feb 13, 2025 | ||
| Larry Henson |
Corporate Officer | Feb 13, 2025 | |
| W-2 Managing Employee |
Feb 13, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260127000331 | VA | Part a Provider - Critical Access Hospital | 6800373408 |
Receives reassigned benefits from 14 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Stuart, VA |
| O20260127000608 | VA | Part a Provider - Critical Access Hospital | 6800373408 | Practice locations: Stuart, VA |
National Provider Directory
- Tax ID family
- Stuart Community Hospital Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Mailing address
200 W Church St
Lexington, TN 38351-2038
Other providers in Stuart, VA
- Elizabeth Ann Shockley
- Jane L Sirkel
- Staci Ficarrotto Soper
- Specialty Clinic
- Holly Nicole Stewart
- Stuart Community Hospital Inc
- Stuart Community Hospital Inc
- Angela Tallman
- Dorothy Joann Tatum
- Kellie Leigh Tatum
All providers in Stuart, VA · Medicare Defined Swing Bed Hospital Unit in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.