NPIMap

Organization Active NPI

Commonwealth of Virginia Hiram W. Davis Medical Center

Doing business as Hiram W. Davis Medical Center

  • Hospitalist Physician
  • Petersburg, VA
National Provider Identifier
1396809109
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
COMMONWEALTH OF VIRGINIA HIRAM W. DAVIS MEDICAL CENTER
Doing business as
Hiram W. Davis Medical Center
Practice address
26317 W Washington Street
Petersburg, VA 23803
Phone
(804) 524-7420
NPI assigned
Dec 19, 2006
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Dr. Jarvis T Griffin, DHA, LNHA, CPHQ
Title
Facility Director/Ceo
Phone
(804) 524-7112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

26317 W Washington Street
Petersburg, VA 23803

Mailing address

PO Box 4030
Petersburg, VA 23803-0030

Other names 1

  • Hiram W. Davis Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928001091 VA Part B Supplier - Clinic/Group Practice 2163401399 Receives reassigned benefits from 4 practitioners
Practice locations: North Dinwiddie, VA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth of VA Hiram W Davis Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

26317 Washington St
Bldg 110
North Dinwiddie, VA 23803
Phone (804) 524-7257

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1396809109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4030",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238030030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26317 W WASHINGTON STREET",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-524-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA HIRAM W. DAVIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FACILITY DIRECTOR/CEO",
        "authorized_official_telephone_number": "804-524-7112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA, LNHA, CPHQ"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hiram W. Davis Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hiram W. Davis Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.