NPIMap

Individual provider Active NPI

Tracie Dobyns Lumpkin, PA

  • Physician Assistant
  • Chester, VA
National Provider Identifier
1295710895
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001792 Issued in VA
Practice address
11601 Iron Bridge Rd Ste 117
Chester, VA 23831-1467
Phone
(804) 717-5300
Fax
(804) 748-7269
NPI assigned
Dec 7, 2005
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001792 VA Primary

Addresses

Primary practice location

11601 Iron Bridge Rd Ste 117
Chester, VA 23831-1467

Mailing address

PO Box 639993
Cincinnati, OH 45263-9993

Other identifiers 2

IdentifierTypeStateIssuer
C06778OtherVAGROUP PTAN
C06249OtherVAGROUP PTAN

Other names 1

  • Tracie Y Dobyns Former name

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
I20051012000068 VA Practitioner - Physician Assistant 9335164029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Richmond Primary Care LLCGroup PAC ID 3476986613, 91 clinicians

Practice addresses (Care Compare)

11601 Iron Bridge Rd
Suite 117
Chester, VA 23831-1467
Phone (804) 717-5300

1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St. Francis Medical Center LLC CurrentSince Mar 12, 2023 Accepting new patients
Bon Secours St. Francis Medical Center LLC CurrentSince Mar 12, 2023 Accepting new patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. Past Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC Past Accepting new patients
Bon Secours St. Francis Medical Center LLC Past Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC Past Accepting new patients
Oceana Urgent Care and Family Practice Past Accepting new patients
Patient Choice Ghent Past Accepting new patients
Roanoke Valley Healthcare Partners, LLC PastSince Aug 22, 2011 Accepting new patients
Commonwealth Counseling Associates Inc Past Accepting new patients

Locations

11601 Iron Bridge Rd
Ste 117
Chester, VA 23831
Phone (804) 521-9301

11601 Iron Bridge Rd
Ste 201
Chester, VA 23831
Phone (804) 495-5826

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

Interoperability endpoints

  • Direct secure messaging: tlumpkin1153264@direct.bsmhealth.org

Organizations & group practices 11

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1295710895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639993",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD STE 117",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311467",
            "telephone_number": "804-717-5300",
            "fax_number": "804-748-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMPKIN",
        "first_name": "TRACIE",
        "middle_name": "DOBYNS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06249",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "DOBYNS",
            "middle_name": "Y",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.