NPIMap

Organization Active NPI

Coremedx Inc.

  • General Practice Physician
  • Danville, VA
National Provider Identifier
1275175705
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COREMEDX INC.
Practice address
441 Piney Forest Rd Ste E
Danville, VA 24540-4154
Phone
(434) 793-0700
Fax
(434) 797-4444
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Isaac Hill, DCNPI 1427307719
Title
Authorized Official
Phone
(434) 797-4455

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

441 Piney Forest Rd Ste E
Danville, VA 24540-4154

Mailing address

441 Piney Forest Rd Ste E
Danville, VA 24540-4154
Phone (434) 793-0700

Other practice location 1

1461 W Main St
Salem, VA 24153-3120
Phone (540) 375-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200206000935 VA Part B Supplier - Clinic/Group Practice 3577999739 Receives reassigned benefits from 6 practitioners
Practice locations: Danville, VA
O20210922002999 VA DME Supplier - Physician Assistant 3577999739 Practice locations: Danville, VA

National Provider Directory

National Provider Directory

Locations

1461 W Main St
Salem, VA 24153
Phone (540) 375-9220

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1275175705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 PINEY FOREST RD STE E",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404154",
            "telephone_number": "434-793-0700",
            "fax_number": "434-797-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 PINEY FOREST RD STE E",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404154",
            "telephone_number": "434-793-0700",
            "fax_number": "434-797-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1461 W Main St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241533120",
            "country_code": "US",
            "telephone_number": "540-375-9220",
            "fax_number": "434-793-9315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COREMEDX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "434-797-4455",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.

Verify at the official NPI Registry.