NPIMap

Organization Active NPI

Central Virginia Family Physicians Inc

  • Family Medicine Physician
  • Madison Heights, VA
National Provider Identifier
1366520405
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRAL VIRGINIA FAMILY PHYSICIANS INC
Practice address
4262 S Amherst Hwy
Madison Heights, VA 24572-5363
Phone
(434) 846-8421
Fax
(434) 846-2655
NPI assigned
Nov 2, 2006
Organization subpart
Yes
Parent organization
CENTRAL VIRGINIA FAMILY PHYSICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Karen L Haynes
Title
Staff Credentialing Manager
Phone
(434) 382-1139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4262 S Amherst Hwy
Madison Heights, VA 24572-5363

Mailing address

PO Box 2489
Forest, VA 24551-6489
Phone (434) 382-1139

Other identifiers 4

IdentifierTypeStateIssuer
0907130011OtherMEDICARE DME
CC2392OtherVAMEDICARE RAILROAD
CO3658OtherVACVFP MCARE GROUP PTAN
1528155892OtherVACVFP CORPORATE NPI

Other names 1

  • MONELISON FAMILY PHYSICIANS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Forest Family Physician6 organizations share this tax ID, including this one
Part of
Forest Family Physician

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

118 Oakwood Dr
Madison Heights, VA 24572
Phone (434) 845-5641

4262 S Amherst Hwy
Madison Heights, VA 24572
Phone (434) 656-1274

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1366520405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2489",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245516489",
            "telephone_number": "434-382-1139",
            "fax_number": "434-525-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 S AMHERST HWY",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245725363",
            "telephone_number": "434-846-8421",
            "fax_number": "434-846-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIA FAMILY PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VIRGINIA FAMILY PHYSICIANS INC",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "STAFF CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "434-382-1139"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0907130011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CC2392",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CVFP MCARE GROUP PTAN",
            "identifier": "CO3658",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CVFP CORPORATE NPI",
            "identifier": "1528155892",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONELISON FAMILY PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.