David W Michie, MD
Individual provider Active NPI Family Medicine Physician · Kenbridge, VA
NPI 1336144807 · NPPES record last updated Jan 13, 2017
Key facts
- NPI
- 1336144807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101058021 (VA)
- Practice address
- 306 E 6TH Ave
Kenbridge, VA 23944-2050 - Phone
- (434) 676-8021
- Fax
- (434) 676-2390
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Virginia Commonwealth University, School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Privia Medical Group, LLC
Practice addresses (Care Compare)
306 E 6TH Ave
Kenbridge, VA 23944-2050
Phone (434) 676-8021
514 W Atlantic St
South Hill, VA 23970-1906
Phone (434) 584-2025
518 W Atlantic St
South Hill, VA 23970-1906
Phone (434) 584-2025
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
Hospital & facility affiliations
- Amedisys Home Health
- Community Memorial Hospital
- Southside Community Hospital, Inc
- Medical College of Virginia Hospitals
- CJW Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040127000638 | VA | Practitioner - Family Practice | 5294638482 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Nova Physician Wellness Center PLLC | Family Medicine | Past | Accepting new patients |
Locations
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
306 E 6th Ave
Kenbridge, VA 23944
Phone (434) 676-8021
8644 Sudley Rd
#220
Manassas, VA 20110
514 W Atlantic St
South Hill, VA 23970
Phone (434) 447-6969
Interoperability endpoints
- david.michie.1@8042.direct.athenahealth.com
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101058021 | VA | Yes |
Addresses
Primary practice location
306 E 6TH Ave
Kenbridge, VA 23944-2050
Mailing address
306 E 6TH Ave
Kenbridge, VA 23944-2050
Phone (434) 676-8021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080182337 | Other | VA | SH RAILROAD MEDICARE |
| 30021 | Other | VA | OPTIMA KB |
| 005600839 | Medicaid | VA | |
| 005600880 | Other | VA | VA PREMIER KB |
| 010252474 | Medicaid | VA | |
| 1336144807 | Other | VA | NPI |
| 1336144807 | Medicaid | VA | |
| 189202 | Other | VA | BCBS # |
| 21524 | Other | VA | CARENET |
| 451951 | Other | VA | BCBS # |
| A1909 | Other | VA | MEDCOST |
| 33774 | Other | VA | OPTIMA SH |
| 5903140 | Other | VA | NC MEDICAID |
| 7425224 | Other | VA | AETNA |
| 99600 | Other | VA | MEDCOST KB |
| 005600839 | Other | VA | VA PREMIER |
| 5038791 | Other | VA | CIGNA |
| 080164906 | Other | VA | KB RAILROAD MEDICARE |
| 22116 | Other | VA | CARENET KB |
| 290297 | Other | VA | SOUTHERN HEALTH |
| 290696 | Other | VA | SOUTHERN HEALTH KB |
| 005600880 | Medicaid | VA | |
| 451950 | Other | VA | BCBS # |
Other providers in Kenbridge, VA
- Kenbridge Emergency Squad, Inc.
- Kenbridge Family Medicine Inc
- Kenbridge Family Medicine Inc
- Sharon Brown Lyles
- MBHS of Kenbridge, LLC
- Angela Charlene Moss
- Nocturnal Science and Sound Temple
- Patience Transportation LLC
- Rebecca Reitz
- Riccobene & Associates CC, DDS, PC
All providers in Kenbridge, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.