JRG of Virginia LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JRG OF VIRGINIA LLC

Practice address

1315 2ND St SW Ste 103
Roanoke, VA 24016-4935

Phone

(540) 900-5633

Fax

(540) 730-7780

NPI assigned

Nov 5, 2021

Organization subpart

No

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

Authorized official

Name

Nicholas F Campagnoli

Title

Owner

Phone

(540) 900-5633

Specialties & licenses 2

Addresses

Other names 1

• Joint Regeneration Group of Virginia Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Bernard Fulton, DO

  • Anesthesiology Physician
  • Roanoke, VA
  • NPI 1609814441
  Medicare reassignment NPD
• Joseph Ernest Grisetti, NP-C

  • Family Nurse Practitioner
  • Hardy, VA
  • NPI 1629505862
  Medicare reassignment NPD
• Stacey Rorie, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Blue Ridge, VA
  • NPI 1992162796
  Medicare reassignment NPD
• Vera J. Short

  • Family Nurse Practitioner
  • Roanoke, VA
  • NPI 1104325778
  Medicare reassignment NPD

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1467117267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 2ND ST SW STE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164935",
            "telephone_number": "540-900-5633",
            "fax_number": "540-730-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 2ND ST SW STE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164935",
            "telephone_number": "540-900-5633",
            "fax_number": "540-730-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRG OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "CAMPAGNOLI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-900-5633"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joint Regeneration Group of Virginia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joint Regeneration Group of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kunal Tushardev Joshi, MD
• Kimberly Lamar Journiette
• Matthew Tucker Joy, MD
• Heather Suzanne Joyce, COTA
• JP Partners, LLC
• JTS Transport Inc
• Andrew Lee Judy, PHYSICIAN ASSISTANT
• Aaron Jun, M.D.
• Yoon Kyung Jung, PH.D.
• Anita Sherry Kablinger, M.D.

• Internal Medicine Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.