Active NPI
Access Healthcare Multi-Specialty Group, PLLC
- Sports Medicine (Family Medicine) Physician
- Forest, VA
National Provider Identifier
1245709088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- Legal business name
- ACCESS HEALTHCARE MULTI-SPECIALTY GROUP, PLLC
- Practice address
- 2103 Graves Mill Rd
Forest, VA 24551-2675 - Phone
- (434) 316-7199
- Fax
- (434) 316-6185
- NPI assigned
- Nov 23, 2018
- 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
- Andrew William Pieleck, DO
- Title
- Owner
- Phone
- (434) 316-7199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | Primary |
Addresses
Primary practice location
2103 Graves Mill Rd
Forest, VA 24551-2675
Mailing address
2103 Graves Mill Rd
Forest, VA 24551-2675
Phone (434) 316-7199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190218002187 | VA | Part B Supplier - Clinic/Group Practice | 4789922790 |
Receives reassigned benefits from 5 practitioners Practice locations: Forest, VA |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/18860/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Forest, VA
- NPI 1821226937
Multi-Specialty, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542931200000",
"number": "1245709088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 GRAVES MILL RD",
"city": "FOREST",
"state": "VA",
"postal_code": "245512675",
"telephone_number": "434-316-7199",
"fax_number": "434-316-6185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 GRAVES MILL RD",
"city": "FOREST",
"state": "VA",
"postal_code": "245512675",
"telephone_number": "434-316-7199",
"fax_number": "434-316-6185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS HEALTHCARE MULTI-SPECIALTY GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-23",
"last_updated": "2018-11-23",
"status": "A",
"authorized_official_last_name": "PIELECK",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "434-316-7199",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2018; 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.