Individual provider Active NPI

Seth Gupton, NP

  • Family Nurse Practitioner
  • South Boston, VA
National Provider Identifier
1437815032
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024183102 Issued in VA
Practice address
1129 N Main St Ste G
South Boston, VA 24592-2547
Phone
(434) 572-8196
Fax
(434) 572-8341
NPI assigned
Nov 9, 2021
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024183102 VA Primary

Addresses

Primary practice location

1129 N Main St Ste G
South Boston, VA 24592-2547

Mailing address

53 Occoneechee Dr
Clarksville, VA 23927-3412

Other practice location 1

2232 Wilborn Ave
South Boston, VA 24592-1662
Phone (434) 572-8196

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
I20211124001105 VA Practitioner - Gastroenterology 4284024738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Gastroenterology Associates PCGroup PAC ID 0840383451, 5 clinicians

Practice addresses (Care Compare)

1129 N Main St
Suite G
South Boston, VA 24592-2547
Phone (434) 572-8196

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.83 of 100Reported as group
Quality
90.46
Promoting interoperability
100
Improvement activities
40
Cost
45.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024183102VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Gastroenterology Endoscopy Center, P.C. CurrentSince Apr 9, 2023 Accepting new patients
Southern Gastroenterology Associates PC CurrentSince Nov 29, 2021 Accepting new patients

Locations

1129 N Main St
Ste G
South Boston, VA 24592
Phone (434) 572-8196

2232 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3539

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18834/brand/1/csg/1/fhir/r4
  • Direct secure messaging: seth.gupton.1@18834.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1437815032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 OCCONEECHEE DR",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239273412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 N MAIN ST STE G",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922547",
            "telephone_number": "434-572-8196",
            "fax_number": "434-572-8341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2232 Wilborn Ave",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245921662",
            "country_code": "US",
            "telephone_number": "434-572-8196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTON",
        "first_name": "SETH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.