Active NPI
Piedmont Family & Occupational Medicine
- Family Medicine Physician
- Danville, VA
National Provider Identifier
1447568076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PIEDMONT FAMILY & OCCUPATIONAL MEDICINE
- Practice address
- 219 Parker Rd
Danville, VA 24540-4034 - Phone
- (434) 791-7366
- Fax
- (434) 791-3438
- NPI assigned
- Sep 16, 2010
- Organization subpart
- No
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Danville, VA
- NPI 1306711130
Family Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1100973 | Piedmont Family and Occupational Medicine | Certificate of waiver | Jan 23, 2028 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120103000451 | VA | Part B Supplier - Clinic/Group Practice | 0244406825 |
Receives reassigned benefits from 1 practitioner Practice locations: Danville, VA |
National Provider Directory
National Provider DirectoryLocations
219 Parker Rd
Danville, VA 24540
Phone (434) 791-7366
Interoperability endpoints
- https://api.platform.athenahealth.com/15590/brand/1/csg/1/fhir/r4
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Addis, MD/
- Title
- Owner
- Phone
- (434) 791-7336
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
219 Parker Rd
Danville, VA 24540-4034
Mailing address
219 Parker Rd
Danville, VA 24540-4034
Phone (434) 791-7366
NPI Registry JSON
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284595200000",
"number": "1447568076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 PARKER RD",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245404034",
"telephone_number": "434-791-7366",
"fax_number": "434-791-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 PARKER RD",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245404034",
"telephone_number": "434-791-7366",
"fax_number": "434-791-3438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIEDMONT FAMILY & OCCUPATIONAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A",
"authorized_official_last_name": "ADDIS",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "434-791-7336",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD/"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.