Chatham Family Medical Center, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHATHAM FAMILY MEDICAL CENTER, INC

Practice address

13908 US Highway 29
Chatham, VA 24531-3669

Phone

(434) 432-0216

Fax

(434) 432-3425

NPI assigned

Jul 17, 2007

Last updated

Nov 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Minesh R Shah, M.D.NPI 1518960673

Title

President/Physician

Phone

(434) 432-0216

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIDIBD

Practitioners 3

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.

• Minesh Shah, M.D.

  • Family Medicine Physician
  • Chatham, VA
  • NPI 1518960673
  Medicare reassignment NPD Authorized official
• Marilyn L Phillips-Grossman, FNP

  • Nurse Practitioner
  • Danville, VA
  • NPI 1649339367
  NPD (past)
• Waclaw Wedzina, MD

  • Internal Medicine Physician
  • Mankato, MN
  • NPI 1699758177
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1225237456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13908 US HIGHWAY 29",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245313669",
            "telephone_number": "434-432-0216",
            "fax_number": "434-432-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13908 US HIGHWAY 29",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245313669",
            "telephone_number": "434-432-0216",
            "fax_number": "434-432-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM FAMILY MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MINESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "434-432-0216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Beth Bowman
• Joelle Shelton Bray
• Emily Hope Brown
• Jamerson Bryant
• Garrett Scott Bullock, PT, DPT
• Chatham Family Pharmacy
• Chatham Health and Rehabilitation Center, LLC (Chatham Health and Rehabilitation Center)
• Chatham Rescue Squad Inc
• Nakindra Coates
• Commonwealth of VA State Board of Health (Pittsylvania County Health Department)

• Family Medicine Physician in Chatham, VA
• Providers in Chatham, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.