NPIMap

Organization Active NPI

PTC Wellness Centers BWXT

  • Family Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1477048973
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PTC WELLNESS CENTERS BWXT
Practice address
1570 Mt. Athos Rd.
Lynchburg, VA 24504
Phone
(434) 522-5006
Fax
(434) 522-5991
NPI assigned
Jun 27, 2018
Organization subpart
Yes
Parent organization
PTC WELLNESS CENTERS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Matthew Tatom, D.O.
Title
President
Phone
(434) 455-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1570 Mt. Athos Rd.
Lynchburg, VA 24504

Mailing address

PO Box 785 Mail Stop 66
Lynchburg, VA 24505
Phone (434) 522-5006

National Provider Directory

National Provider Directory
Tax ID family
PTC Wellness Centers PC2 organizations share this tax ID, including this one
Part of
PTC Wellness Centers PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1477048973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785 MAIL STOP 66",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24505",
            "telephone_number": "434-522-5006",
            "fax_number": "434-522-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 MT. ATHOS RD.",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24504",
            "telephone_number": "434-522-5006",
            "fax_number": "434-522-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTC WELLNESS CENTERS BWXT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PTC WELLNESS CENTERS PC",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "TATOM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-455-1550",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.