Active NPI
Austen Kendehl Nelson Lipham, DO
- Family Medicine Physician
- Danville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102207162
- Practice address
- 109 Bridge St Ste 201
Danville, VA 24541-1222 - Phone
- (434) 799-4488
- Fax
- (434) 773-6977
- NPI assigned
- May 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116032614 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 0102207162 | VA | Primary |
Addresses
Primary practice location
109 Bridge St Ste 201
Danville, VA 24541-1222
Mailing address
109 Bridge St Ste 201
Danville, VA 24541-1222
Phone (434) 799-4488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Bridge St
Suite 201
Danville, VA 24541-1222
Phone (434) 799-4488
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102207162 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Danville Physician Practices LLC | Family Medicine | Current | Accepting new patients |
Locations
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
Family Medicine
-
- Diagnostic Radiology Physician
- Danville, VA
- NPI 1265243612
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1316504764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BRIDGE ST STE 201",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411222",
"telephone_number": "434-799-4488",
"fax_number": "434-773-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 BRIDGE ST STE 201",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411222",
"telephone_number": "434-799-4488",
"fax_number": "434-773-6977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPHAM",
"first_name": "AUSTEN",
"middle_name": "KENDEHL NELSON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116032614",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102207162",
"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 Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.