Complexions of Central Virginia, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101059327 Issued in VA

Legal business name

COMPLEXIONS OF CENTRAL VIRGINIA, INC.

Doing business as

Blue Ridge Internal Medicine

Practice address

1922 Thomson Dr Ste B
Lynchburg, VA 24501-1020

Phone

(434) 846-4444

Fax

(434) 846-4445

NPI assigned

Jan 14, 2009

Last updated

Mar 4, 2011By 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

Dr. Richard A Miller, M.D.NPI 1720062938

Title

President

Phone

(434) 846-4444

Specialties & licenses 1

Addresses

Other names 1

• Blue Ridge Internal Medicine Doing business as

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

Practitioners 4

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.

• Richard Miller, MD

  • Internal Medicine Physician
  • Lynchburg, VA
  • NPI 1720062938
  Medicare reassignment NPD Authorized official
• Andrea E.P. Kittrell, M.D.

  • Otolaryngology Physician
  • Lynchburg, VA
  • NPI 1972500270
  Medicare reassignment NPD
• Cherish T Van Schaik, FNP

  • Family Nurse Practitioner
  • Choteau, MT
  • NPI 1295164697

  VA

  Medicare reassignment NPD
• Khammany Southammavong, O.D.

  • Optometrist
  • Richmond, VA
  • NPI 1356466270
  NPD (past)

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1245477223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 THOMSON DR STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011020",
            "telephone_number": "434-846-4444",
            "fax_number": "434-846-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 THOMSON DR STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011020",
            "telephone_number": "434-846-4444",
            "fax_number": "434-846-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEXIONS OF CENTRAL VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-846-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101059327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Anthony Combs, PA
• Commonwealth of Virginia State Board of Health (Lynchburg Health Department)
• Commonwealth of Virginia State Department of Health (Central Virginia Child Development Clinic)
• Community Access Network
• Community Alternatives Virginia, Inc.
• Comprehensive Family Services, Inc.
• Annamarie Elmore Compton, LPC
• Mason G Conine
• Conjugate Physical Therapy PLLC
• Robert G. Conlon, LCSW

• Primary Care Clinic/Center in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.