Memorial Family Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101053147 Issued in VA

Legal business name

MEMORIAL FAMILY CARE INC

Practice address

501 Rison St
Suite 120
Danville, VA 24541-2425

Phone

(434) 792-3730

Fax

(434) 792-6048

NPI assigned

Mar 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tamara R Neal

Title

Billing Manager

Phone

(434) 792-3730

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Memorial Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Memorial Family Care

  • Primary Care Clinic/Center
  • Danville, VA
  • NPI 1821480658
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: drrt@memorialfamily.azalea.phimailbox.com
• Direct secure messaging: th@memorialfamily.azalea.phimailbox.com

Practitioners 2

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

• Tammi Parker Hampton, FNP-C

  • Nurse Practitioner
  • Danville, VA
  • NPI 1053725135
  Medicare reassignment Care Compare group NPD
• Rajendra S Trivedi, MD

  • Family Medicine Physician
  • Danville, VA
  • NPI 1740222843
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1141430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1376510644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10399",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245435007",
            "telephone_number": "434-792-3730",
            "fax_number": "434-792-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 RISON ST",
            "address_2": "SUITE 120",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412425",
            "telephone_number": "434-792-3730",
            "fax_number": "434-792-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-04",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "434-792-3730",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101053147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS NC MEDICAID",
            "identifier": "89063VU",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "258015",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE",
            "identifier": "CL9316",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005619505",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medexpress Urgent Care, PC - Virginia
• Medical Facilities of America VIII
• Medical Facilities of America Xxii
• Margaret Dale Medley, PMHNP
• Memorial Family Care
• Menm, LLC
• Mental Wellness Access
• Danielle Marie Merricks, FNP
• Megan Merrill, MS, OTR/L
• Samuel V Mesaros, DDS

• Family Medicine Physician in Danville, VA
• Providers in Danville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.