Individual provider Active NPI

Carolyn Sue Seepe, M.D.

  • Family Medicine Physician
  • Danville, VA
National Provider Identifier
1407861297
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101056595 Issued in VA
Practice address
173 Executive Dr
Danville, VA 24541-4101
Phone
(434) 791-4110
Fax
(434) 791-4003
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101056595 VA Primary

Addresses

Primary practice location

173 Executive Dr
Danville, VA 24541-4101

Mailing address

173 Executive Dr
Danville, VA 24541-4101
Phone (434) 791-4110

Other practice location 1

441 Piney Forest Rd
Suite E
Danville, VA 24540-4154
Phone (434) 791-4110

Other identifiers 2

IdentifierTypeStateIssuer
1407861297OtherNPI
010184398MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000322 VA Practitioner - Family Practice 3779506340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

159 Executive Dr
Danville, VA 24541-4160

173 Executive Dr
Danville, VA 24541-4101
Phone 43479141104101

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101056595VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Physician Practices LLC Family Medicine CurrentSince Jun 27, 2016 Accepting new patients
Danville Physician Practices LLC CurrentSince Jun 27, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

173 Executive Dr
Danville, VA 24541
Phone (434) 791-4110

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: carolyn.seepe.1@8042.direct.athenahealth.com
  • Direct secure messaging: carolyn.seepe.1@19847.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1407861297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 EXECUTIVE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414101",
            "telephone_number": "434-791-4110",
            "fax_number": "434-791-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 EXECUTIVE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414101",
            "telephone_number": "434-791-4110",
            "fax_number": "434-791-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Piney Forest Rd",
            "address_2": "SUITE E",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245404154",
            "country_code": "US",
            "telephone_number": "434-791-4110",
            "fax_number": "434-791-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEEPE",
        "first_name": "CAROLYN",
        "middle_name": "SUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101056595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407861297",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010184398",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.