Individual provider Active NPI

Michael Pittmon, NP

  • Adult Health Nurse Practitioner
  • Danville, VA
National Provider Identifier
1255865333
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024174772 Issued in VA
Practice address
949 Piney Forest Rd
Danville, VA 24540-1591
Phone
(434) 835-4876
Fax
(434) 835-4875
NPI assigned
Apr 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024174772 VA Primary

Addresses

Primary practice location

949 Piney Forest Rd
Danville, VA 24540-1591

Mailing address

117 Walker Dr
Danville, VA 24540-1056
Phone (434) 770-3543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170524000731 VA Practitioner - Nurse Practitioner 5294002143 Reassigns benefits to 4 organizations
I20250425001766 NC Practitioner - Nurse Practitioner 5294002143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Medical Group PCGroup PAC ID 8921030719, 37 clinicians

Practice addresses (Care Compare)

615 Ridge Rd
Roxboro, NC 27573-4629
Phone (336) 599-2121

Hospital & facility affiliations

  • Person Memorial Hospital Hospital, Roxboro, NC, CCN 340159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024174772VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Virginia, PC CurrentSince Sep 13, 2017 Accepting new patients
Hospitalist Medicine Physicians of Washington Tacoma PLLC CurrentSince Mar 25, 2024 Accepting new patients
Eventus Premier Healthcare LLC CurrentSince Aug 1, 2024 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Mar 1, 2025 Accepting new patients
Southeastern Medical Group, PC CurrentSince Mar 1, 2025 Accepting new patients
Premier Geriatric Solutions PLLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1255865333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WALKER DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401056",
            "telephone_number": "434-770-3543",
            "fax_number": "434-835-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401591",
            "telephone_number": "434-835-4876",
            "fax_number": "434-835-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMON",
        "first_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024174772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.