Ainsley Medical LLC
Organization Active NPI Emergency Care Clinic/Center · Danville, VA
NPI 1265124689 · NPPES record last updated Jul 5, 2023
Key facts
- NPI
- 1265124689
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Care Clinic/Center 261QE0002X
- Legal business name
- AINSLEY MEDICAL LLC
- Practice address
- 1108 Main St
Danville, VA 24541-2940 - Phone
- (434) 421-6180
- Fax
- (434) 421-4974
- NPI assigned
- May 24, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Ainsley Innis, MD
- Title
- Physician
- Phone
- (434) 421-6180
Corporate family (same tax ID) 1
Practitioners 4
-
Viola Jones, AG-NP-BC
-
Ashley Keene Cooper, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230920001427 | VA | Part B Supplier - Clinic/Group Practice | 6204280597 |
Receives reassigned benefits from 4 practitioners Practice locations: Danville, VA |
National Provider Directory
- Tax ID family
- Ainsley Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician |
207QA0505X | |||
| Emergency Care Clinic/Center | 261QE0002X | Yes |
Addresses
Primary practice location
1108 Main St
Danville, VA 24541-2940
Mailing address
1108 Main St
Danville, VA 24541-2940
Phone (434) 421-6180
Other names
- Ainsley Medical LLC
Other providers in Danville, VA
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- Ammar Ahmed
- Syed Aftab Ahmed
- Sarah Aiken
- Ainsley Medical LLC
- Madina Akbar
- Scott Jamar Akers Sr.
- Akintunde Rasaq Akinleye
- Subash Ala
All providers in Danville, VA · Emergency Care Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.