Organization Active NPI

Commonwealth Neuro Specialists PC

  • Neurology Physician
  • South Hill, VA
National Provider Identifier
1366479727
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101054817 Issued in VA
Legal business name
COMMONWEALTH NEURO SPECIALISTS PC
Practice address
501 Lombardy St
South Hill, VA 23970-2107
Phone
(434) 447-9033
Fax
(434) 447-9034
NPI assigned
Jun 28, 2006
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Carlos A Williams, MDNPI 1669464855
Title
President Owner
Phone
(434) 447-9033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X 0101054817 VA Primary

Addresses

Primary practice location

501 Lombardy St
South Hill, VA 23970-2107

Mailing address

PO Box 654
South Hill, VA 23970-0654
Phone (434) 447-9033

National Provider Directory

National Provider Directory

Locations

4630 S Laburnum Ave
Richmond, VA 23231
Phone (804) 226-2444

501 Lombardy St
South Hill, VA 23970
Phone (434) 447-9033

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1366479727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700654",
            "telephone_number": "434-447-9033",
            "fax_number": "434-447-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LOMBARDY ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239702107",
            "telephone_number": "434-447-9033",
            "fax_number": "434-447-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH NEURO SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "434-447-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101054817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.