Organization Active NPI

Internal Medicine and Endocrinology of Central Virginia

  • Internal Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1316919582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101057596 Issued in VA
Legal business name
INTERNAL MEDICINE AND ENDOCRINOLOGY OF CENTRAL VIRGINIA
Practice address
1901 Thomson Drive
Lower Level
Lynchburg, VA 24501-1008
Phone
(434) 947-5959
Fax
(434) 924-1293
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shawn Michael Hayes, M.D.
Title
President
Phone
(434) 947-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101057596 VA Primary

Addresses

Primary practice location

1901 Thomson Drive
Lower Level
Lynchburg, VA 24501-1008

Mailing address

1901 Thomson Drive
Lower Level
Lynchburg, VA 24501-1008
Phone (434) 947-5959

Other identifiers 1

IdentifierTypeStateIssuer
5813271MedicaidVA

National Provider Directory

National Provider Directory

Locations

1901 Thomson Dr
Lowr
Lynchburg, VA 24501
Phone (434) 845-1977

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316919582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 THOMSON DRIVE",
            "address_2": "LOWER LEVEL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011008",
            "telephone_number": "434-947-5959",
            "fax_number": "434-924-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 THOMSON DRIVE",
            "address_2": "LOWER LEVEL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011008",
            "telephone_number": "434-947-5959",
            "fax_number": "434-924-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND ENDOCRINOLOGY OF CENTRAL VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-947-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101057596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5813271",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.