Individual provider Active NPI

David Pendleton McPherson, M.D.

  • Family Medicine Physician
  • Hillsville, VA
National Provider Identifier
1538129754
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101028405 Issued in VA
Practice address
1953 Carrollton Pike
Post Office Box 38
Hillsville, VA 24343-0038
Phone
(276) 728-3196
Fax
(276) 728-4802
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101028405 VA Primary

Addresses

Primary practice location

1953 Carrollton Pike
Post Office Box 38
Hillsville, VA 24343-0038

Mailing address

1953 Carrollton Pike
PO Box 38
Hillsville, VA 24343-0038
Phone (276) 728-3196

Other identifiers 2

IdentifierTypeStateIssuer
016177OtherVAANTHEM
005671825MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000091 VA Practitioner - Family Practice 7012032246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

  • Blue Ridge Home Health Care Home health agency, Galax, VA, CCN 497643
  • Access Home Health Care and Rehabilitation Home health agency, Galax, VA, CCN 497713
  • Geisinger Home Health Home health agency, Hazle Township, PA, CCN 398030
  • Twin County Regional Hospital Hospital, Galax, VA, CCN 490115
  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101028405VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 24, 2018 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Apr 24, 2018 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

1953 Carrollton Pike
Hillsville, VA 24343
Phone (276) 728-3196

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: david.mcpherson.1@8042.direct.athenahealth.com
  • Direct secure messaging: david.mcpherson.2@14696.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1538129754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 CARROLLTON PIKE",
            "address_2": "PO BOX 38",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243430038",
            "telephone_number": "276-728-3196",
            "fax_number": "276-728-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 CARROLLTON PIKE",
            "address_2": "POST OFFICE BOX 38",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243430038",
            "telephone_number": "276-728-3196",
            "fax_number": "276-728-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "DAVID",
        "middle_name": "PENDLETON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101028405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "016177",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005671825",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsville, VA

Sources for this page

Verify at the official NPI Registry.