Active NPI
CMH Physician Services, LLC
- Internal Medicine Physician
- South Hill, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CMH PHYSICIAN SERVICES, LLC
- Practice address
- 1755 N Mecklenburg Ave
South Hill, VA 23970-4080 - Phone
- (434) 447-3151
- NPI assigned
- Jun 18, 2006
- Last updated
- Aug 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Warren Scott Burnette
- Title
- Chief Executive Officer
- Phone
- (434) 584-2499
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Dermatology Physician | 207N00000X | |||
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Hematology & Oncology Physician | 207RH0003X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 0101054967 | VA | |
| Otolaryngology Physician | 207Y00000X | |||
| Neurology Physician | 2084N0400X | |||
| Psychiatry Physician | 2084P0800X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X | |||
| Hospitalist Physician | 208M00000X | |||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Mailing address
PO Box 623
South Hill, VA 23970-0623
Other practice location 1
200 E 5th St
Chase City, VA 23924-1456
Phone (434) 372-0900
Other practice location 2
61 Burlington Dr
Clarksville, VA 23927-3235
Phone (434) 374-2273
Other practice location 3
144 E Ferrell St
South Hill, VA 23970-2102
Phone (434) 584-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040921000171 | VA | Part B Supplier - Clinic/Group Practice | 3779551445 |
Receives reassigned benefits from 250 practitioners 1 other NPI on this enrollment Practice locations: South Hill, VA; Clarksville, VA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
4431 SW 64th Ave
Davie, FL 33314
61 Burlington Dr
Clarksville, VA 23927
Phone (434) 374-2773
Practitioners & affiliated clinicians
Practitioners 262
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.
-
- Vascular Surgery Physician
- Richmond, VA
- NPI 1255692877
-
- Emergency Medicine Physician
- Mechanicsville, VA
- NPI 1346254646
-
- Nurse Practitioner
- Richmond, VA
- NPI 1588285662
-
- Emergency Medicine Physician
- South Hill, VA
- NPI 1730143330
-
- Internal Medicine Physician
- Fairfax, VA
- NPI 1851543409
-
- Neurology Physician
- South Hill, VA
- NPI 1730528159
-
- Dentist
- Henrico, VA
- NPI 1841809969
-
- Vascular Surgery Physician
- Richmond, VA
- NPI 1033292313
Internal Medicine
-
- Family Medicine Physician
- South Hill, VA
- NPI 1104167493
Multi-Specialty
-
- Certified Registered Nurse Anesthetist
- Chesapeake, VA
- NPI 1700444510
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629849600000",
"number": "1194760645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 623",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "239700623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 N MECKLENBURG AVE",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "239704080",
"telephone_number": "434-447-3151"
}
],
"practiceLocations": [
{
"address_1": "200 E 5th St",
"address_purpose": "LOCATION",
"city": "Chase City",
"state": "VA",
"postal_code": "239241456",
"country_code": "US",
"telephone_number": "434-372-0900",
"fax_number": "434-363-4258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "61 Burlington Dr",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "VA",
"postal_code": "239273235",
"country_code": "US",
"telephone_number": "434-374-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "144 E Ferrell St",
"address_purpose": "LOCATION",
"city": "South Hill",
"state": "VA",
"postal_code": "239702102",
"country_code": "US",
"telephone_number": "434-584-5400",
"fax_number": "434-584-5425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CMH PHYSICIAN SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A",
"authorized_official_last_name": "BURNETTE",
"authorized_official_first_name": "WARREN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "434-584-2499"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101054967",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Hill, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.