Organization Active NPI

Piedmont Family & Occupational Medicine

  • Family Medicine Physician
  • Danville, VA
National Provider Identifier
1447568076
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1100973Piedmont Family and Occupational Medicine219 Parker Road, Danville, VA 24540Certificate of waiverJan 23, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120103000451 VA Part B Supplier - Clinic/Group Practice 0244406825 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, VA

National Provider Directory

National Provider Directory

Locations

219 Parker Rd
Danville, VA 24540
Phone (434) 791-7366

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15590/brand/1/csg/1/fhir/r4

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Daniel Addis, MD/NPI 1144249400
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

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

{
    "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.

Verify at the official NPI Registry.