Katherine Adelicia Hedian, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102204855 Issued in VA

Practice address

2256 Irish Rd.
Southern Albemarle Family Practice
Esmont, VA 22937

Phone

(434) 286-3602

Fax

(434) 286-3819

NPI assigned

Jun 18, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Katherine Adelicia Jenkins Former name

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

Specialty

General Practice

Education

West Virginia School of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Home Care Services Home health agency, Charlottesville, VA, CCN 497019
• Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
• University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Central Virginia Health Services Inc

  dba CVHS Downtown Petersburg

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601
  Medicare reassignment Care Compare group NPD
• Central Virginia Health Services Inc

  dba CVHS Southern Albemarle

  • Federally Qualified Health Center (FQHC)
  • Esmont, VA
  • NPI 1588792162
  NPD
• Central Virginia Health Services Inc

  dba CVHS Blue Devils Health Center

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • New Canton, VA
  • NPI 1275512063
  NPD (past)

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

• Sentara Enterprises

  • Home Health Agency
  • Charlottesville, VA
  • NPI 1255315503
  Care Compare affiliation Name & address match
• Martha Jefferson Hospital

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1346248663
  Care Compare affiliation
• Rector & Visitors of the University of Virginia

  dba UVA Health Sciences Center

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1780630608
  Care Compare affiliation

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437563392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 IRISH RD.",
            "address_2": "SOUTHERN ALBEMARLE FAMILY PRACTICE",
            "city": "ESMONT",
            "state": "VA",
            "postal_code": "22937",
            "telephone_number": "434-286-3602",
            "fax_number": "434-286-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 IRISH RD.",
            "address_2": "SOUTHERN ALBEMARLE FAMILY PRACTICE",
            "city": "ESMONT",
            "state": "VA",
            "postal_code": "22937",
            "telephone_number": "434-286-3602",
            "fax_number": "434-286-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDIAN",
        "first_name": "KATHERINE",
        "middle_name": "ADELICIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "ED0417",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102204855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "JENKINS",
            "middle_name": "ADELICIA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Best, SLP
• Linda Brooks
• Stephanie Karen Brownell, APRN, AGPCNP-BC
• Central Virginia Health Services Inc (CVHS Southern Albemarle)
• Leonor Mejia Gett
• Margaret J Hobson, MD
• Carol Renee Lundgren, LPC
• Moonshot Therapy & Wellness LLC
• Petheree Nissley, FNP-C, PMHNP-BC
• Dawn Osterholt, M.D.

• Family Medicine Physician in Esmont, VA
• Providers in Esmont, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.