Physician Associates of Central Virginia, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

0101043535 Issued in VA

Legal business name

PHYSICIAN ASSOCIATES OF CENTRAL VIRGINIA, LLC

Practice address

2215 Landover PL
Lynchburg, VA 24501-2115

Phone

(434) 947-3944

Fax

(866) 617-8273

NPI assigned

Nov 15, 2011

Last updated

Jan 15, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDICAL ASSOCIATES OF CENTRAL VIRGINIA, INC.As reported in NPPES

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

Authorized official

Name

Nicholas Cleary III

Title

Administrator

Phone

(434) 947-3944

Specialties & licenses 2

Addresses

Other identifiers 2

Part of

Medical Assoc of Centra

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Intravene, LLC

  dba Intravene

  • Home Infusion Agency
  • Lynchburg, VA
  • NPI 1518028604

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medical Associates of Central Virginia, Inc.

  • Internal Medicine Physician
  • Lynchburg, VA
  • NPI 1912970260
  NPPES parent name

Practitioners 3

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.

• David Cannon, M.D.

  • Internal Medicine Physician
  • Lynchburg, VA
  • NPI 1891778387
  NPD
• Daniel Horton, M.D.

  • Internal Medicine Physician
  • Lynchburg, VA
  • NPI 1922091701
  NPD
• Robert Owen Brennan, MD

  • Infectious Disease Physician
  • Lynchburg, VA
  • NPI 1659355170
  NPD (past)

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1386921534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 LANDOVER PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012115",
            "telephone_number": "434-947-3944",
            "fax_number": "866-617-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 LANDOVER PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012115",
            "telephone_number": "434-947-3944",
            "fax_number": "866-617-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSOCIATES OF CENTRAL VIRGINIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF CENTRAL VIRGINIA, INC.",
        "enumeration_date": "2011-11-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "434-947-3944",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101043535",
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "VA",
            "license": "0101036819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386921534",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1386921534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Phifer
• Clifford Isaac Phillips, OD
• Jennifer Marie Phillips, FNP-C
• Robert Terry Phillips, LPC
• Walter Lee Phillips, DENTIST
• Physicians Treatment Center
• Physicians Treatment Center Inc
• Breanne A Piatt, ATC
• Jerry Vance Pickard, EDD, ATC, LAT
• Caitlin T Pickeral, PA

• Neurological Surgery Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Neurological Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.