Danville Physician Practices, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

49-3836 Issued in VA

Legal business name

DANVILLE PHYSICIAN PRACTICES, LLC

Doing business as

Family Healthcare Centers of Gretna

Practice address

305 N Main St
Gretna, VA 24557-4176

Phone

(434) 656-2224

NPI assigned

May 24, 2007

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlotte Lawrence

Title

Secretary

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other names 1

• Family Healthcare Centers of Gretna Doing business as

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1508077603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N MAIN ST",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245574176",
            "telephone_number": "434-656-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N MAIN ST",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245574176",
            "telephone_number": "434-656-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "VA",
            "license": "49-3836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Healthcare Centers of Gretna",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Healthcare Centers of Gretna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renea Johnson Cooper, L.P.T.A
• Jacqulin Coston
• Bryan Keith Dalton, PHARMD
• William Brandon Dalton, PHARMD
• Danville Physician Practices LLC (Sovah Family Medicine - Gretna)
• Cherisse Yolanda Davenport
• Andre Anthony Dickerson
• Laschae Dickerson
• Rosalind Dickerson
• Vernella Dickerson

• Rural Health Clinic/Center in Gretna, VA
• Providers in Gretna, VA by specialty
• Rural Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.