NPIMap

Individual provider Active NPI

David W Michie, MD

  • Family Medicine Physician
  • Kenbridge, VA
National Provider Identifier
1336144807
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101058021 Issued in VA
Practice address
306 E 6TH Ave
Kenbridge, VA 23944-2050
Phone
(434) 676-8021
Fax
(434) 676-2390
NPI assigned
Jun 20, 2005
Last updated
Jan 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101058021 VA Primary

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

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
I20040127000638 VA Practitioner - Family Practice 5294638482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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, LLCGroup PAC ID 4385682061, 1,522 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Apr 17, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 17, 2017 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

  • Direct secure messaging: david.michie.1@8042.direct.athenahealth.com

Organizations & group practices 2

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 11

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1336144807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E 6TH AVE",
            "city": "KENBRIDGE",
            "state": "VA",
            "postal_code": "239442050",
            "telephone_number": "434-676-8021",
            "fax_number": "434-676-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 6TH AVE",
            "city": "KENBRIDGE",
            "state": "VA",
            "postal_code": "239442050",
            "telephone_number": "434-676-8021",
            "fax_number": "434-676-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHIE",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101058021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenbridge, VA

Sources for this page

Verify at the official NPI Registry.