Individual provider Active NPI

Eugene Alphonso Tweedy Jr.

  • Mental Health Counselor
  • Lynchburg, VA
National Provider Identifier
1427565019
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
707 Polk St
Lynchburg, VA 24504-2935
Phone
(434) 258-5633
Fax
(434) 237-3605
NPI assigned
Jan 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

707 Polk St
Lynchburg, VA 24504-2935

Mailing address

707 Polk St
Lynchburg, VA 24504-2935
Phone (434) 258-5633

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260209003221 VA Practitioner - Mental Health Counselor 0446739510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Pac Services PCGroup PAC ID 4587930672, 20 clinicians
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians

Practice addresses (Care Compare)

720 Orchard Ave
Rocky Mount, VA 24151-1842
Phone (540) 489-3467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tweedy Mentoring Services LLC Mental Health Current Accepting new patients
Virginia Pac Services PC CurrentSince Dec 14, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Dec 14, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Dec 14, 2025 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1427565019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 POLK ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245042935",
            "telephone_number": "434-258-5633",
            "fax_number": "434-237-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 POLK ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245042935",
            "telephone_number": "434-258-5633",
            "fax_number": "434-237-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEEDY",
        "first_name": "EUGENE",
        "middle_name": "ALPHONSO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.