Individual provider Active NPI

Mahalea Scicchitano Gilchrist

  • Speech-Language Pathologist
  • Lynchburg, VA
National Provider Identifier
1497492698
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202011065 Issued in VA
Practice address
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone
(434) 200-7600
Fax
(434) 200-1294
NPI assigned
May 18, 2022
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202011065 VA Primary

Addresses

Primary practice location

3300 Rivermont Ave
Lynchburg, VA 24503-2030

Mailing address

1235 Windsor Dr
Bedford, VA 24523-1430

Other practice location 1

1613 Oakwood St
Bedford, VA 24523-1213
Phone (540) 425-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612001425 VA Practitioner - Qualified Speech Language Pathologist 5294192951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Outpatient Rehabilitation Services LLCGroup PAC ID 4789909987, 29 clinicians

Practice addresses (Care Compare)

2125 Langhorne Rd
Suite 205
Lynchburg, VA 24501-1423
Phone (434) 200-4200

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
87.16
Improvement activities
40
Cost
79.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202011065VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Outpatient Rehabilitation Services LLC Speech-Language Pathologist CurrentSince May 30, 2023 Accepting new patients

Locations

1710 Whitfield Dr
Bedford, VA 24523
Phone (540) 586-0636

935 S Main St
Farmville, VA 23901
Phone (434) 315-5340

291 McBride Ln
Gretna, VA 24557
Phone (434) 656-1274

125 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 200-3908

2125 Langhorne Rd
Ste 205
Lynchburg, VA 24501
Phone (434) 200-4200

3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668

693 Leesville Rd
Lynchburg, VA 24502
Phone (434) 200-5750

801 Wyndhurst Dr
Lynchburg, VA 24502
Phone (434) 237-8160

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1497492698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 WINDSOR DR",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032030",
            "telephone_number": "434-200-7600",
            "fax_number": "434-200-1294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1613 Oakwood St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "VA",
            "postal_code": "245231213",
            "country_code": "US",
            "telephone_number": "540-425-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILCHRIST",
        "first_name": "MAHALEA",
        "middle_name": "SCICCHITANO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202011065",
            "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 Oct 15, 2024; 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.