NPIMap

Individual provider Active NPI

Clinton Steven Beverly, M.D.

  • Surgery Physician
  • Lynchburg, VA
National Provider Identifier
1275604647
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
054250 Issued in GA
Practice address
1906 Thomson Drive
Central Virginia Surgery
Lynchburg, VA 24501
Phone
(434) 947-3933
Fax
(434) 947-3988
NPI assigned
Nov 10, 2006
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 054250 GA Primary

Addresses

Primary practice location

1906 Thomson Drive
Central Virginia Surgery
Lynchburg, VA 24501

Mailing address

1906 Thomson Drive
Central Virginia Surgery
Lynchburg, VA 24501
Phone (434) 947-3933

Other practice location 1

351 Valley Health Way Frnt Royal
Front Royal, VA 22630-3598
Phone (540) 636-0300

Other practice location 2

759 S Main St
Woodstock, VA 22664-1154
Phone (154) 045-9110

Other identifiers 5

IdentifierTypeStateIssuer
52143398OtherGABCBS PROVIDER #
913938883AMedicaidGA
P00143081OtherGARAILROAD MEDICARE #
303465OtherGAWELL CARE PROVIDER #
913938883AOtherGAPEACH STATE PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090113000660 VA Practitioner - General Surgery 6103891676 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
East Tennessee State University Quillen College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Warren Memorial Hospital, Inc.Group PAC ID 2365330347, 121 clinicians

Practice addresses (Care Compare)

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

1906 Thomson Dr
Lynchburg, VA 24501-1009
Phone (434) 200-3933

3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone (434) 200-5999

351 Valley Health Way
Front Royal, VA 22630-6480
Phone (540) 636-0300

759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-1124

800 Oak St
Farmville, VA 23901-1199
Phone (434) 315-2998

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
054250GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. CurrentSince Aug 22, 2024 Accepting new patients
Shenandoah Memorial Hospital Inc. Surgery CurrentSince Aug 22, 2024 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Aug 22, 2024 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Aug 22, 2024 Accepting new patients
Centra Medical Group, LLC CurrentSince Dec 1, 2014 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Clinton S. Beverly MD PC Surgery PastSince Jul 15, 2004 Accepting new patients
Centra Health Professional Services, LLC Surgery Past Accepting new patients

Locations

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

1906 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-3933

2125 Langhorne Rd
Ste 405
Lynchburg, VA 24501
Phone (434) 200-3933

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: cbeverly1429560@valleyhealth.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Centra Health, IncLynchburg, VA, CCN 49S021 Hospital Corporate Director Jan 1, 2022
Centra Health, IncLynchburg, VA, CCN 49T021 Hospital Corporate Director Jan 1, 2022
VA Baptist Lynchburg General HospitalLynchburg, VA, CCN 490021 Hospital Corporate Director Jan 1, 2022
Centra Home HealthLynchburg, VA, CCN 497278 Home health agency Corporate Officer Jan 1, 2022
Centra Health, Inc Hospice of the HillsLynchburg, VA, CCN 491519 Hospice Corporate Director Jan 1, 2024
VA Baptist Lynchburg General HospitalDanville, VA, CCN 498954 Rural health clinic Corporate Officer Nov 1, 2023
Centra Medical Group BrooknealBrookneal, VA, CCN 493880 Rural health clinic Corporate Officer Jun 9, 2025

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Organizations & group practices 8

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

Hospital & facility affiliations 8

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1275604647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 THOMSON DRIVE",
            "address_2": "CENTRAL VIRGINIA SURGERY",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24501",
            "telephone_number": "434-947-3933",
            "fax_number": "434-947-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 THOMSON DRIVE",
            "address_2": "CENTRAL VIRGINIA SURGERY",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24501",
            "telephone_number": "434-947-3933",
            "fax_number": "434-947-3988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Valley Health Way Frnt Royal",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226303598",
            "country_code": "US",
            "telephone_number": "540-636-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 S Main St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641154",
            "country_code": "US",
            "telephone_number": "154-045-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "CLINTON",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "054250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "52143398",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913938883A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00143081",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CARE PROVIDER #",
            "identifier": "303465",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE PROVIDER #",
            "identifier": "913938883A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.