NPIMap

Organization Active NPI

Martinsville Physician Practices LLC

Doing business as Sovah Internal Medicine - Martinsville

  • Rural Health Clinic/Center
  • Martinsville, VA
National Provider Identifier
1558049742
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARTINSVILLE PHYSICIAN PRACTICES LLC
Doing business as
Sovah Internal Medicine - Martinsville
Practice address
319 Hospital Dr Ste 202
Martinsville, VA 24112-1948
Phone
(276) 666-0452
Fax
(276) 666-0363
NPI assigned
Jul 7, 2023
Last updated
Oct 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

319 Hospital Dr Ste 202
Martinsville, VA 24112-1948

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Sovah Internal Medicine - Martinsville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060710000176 VA Part B Supplier - Clinic/Group Practice 0143233346 Receives reassigned benefits from 87 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stuart, VA; Martinsville, VA; Bassett, VA; Danville, VA
O20231110001349 VA Part A Provider - Rural Health Clinic 0143233346 Practice locations: Martinsville, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558049742. Details of each certification follow.

Rural health clinic certification: CCN 498945

Legal name
MARTINSVILLE PHYSICIAN PRACTICES LLC
Doing business as
SOVAH INTERNAL MEDICINE - MARTINSVILLE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 15, 2023
Last certification
Dec 15, 2023
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Feb 8, 2006 in VA
Enrollment address
319 Hospital Dr
Ste 202
Martinsville, VA 24112-1948

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1052895Sovah Internal Medicine Martinsville319 Hospital Drive - Suite 202, Martinsville, VA 24112Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Martinsville Physician Practices LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

101 Cleveland Ave
Ste C
Martinsville, VA 24112
Phone (276) 634-5000

1109 Brookdale St
Ste C
Martinsville, VA 24112
Phone (276) 666-7545

2690 Greensboro Rd
Martinsville, VA 24112
Phone (276) 666-6673

315 Hospital Dr
Ste 201
Martinsville, VA 24112
Phone (276) 638-7731

319 Hospital Dr
Ste 201
Martinsville, VA 24112
Phone (276) 666-7723

319 Hospital Dr
Ste 210
Martinsville, VA 24112
Phone (276) 656-1006

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pamela Kane Individual Corporate OfficerVice President Aug 1, 2023
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 100%
Laura C Hinson Individual Corporate OfficerChief Financial Officer Mar 12, 2025
Province Healthcare Company LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2023 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 100%
Charlotte E Lawrence Individual Corporate OfficerSecretary Aug 1, 2023
Klaus Michael Boel Individual Corporate OfficerPresident Aug 19, 2024
W-2 Managing Employee Aug 19, 2024
John Michael Grooms Individual Corporate OfficerSenior Vice President & Treasurer Aug 1, 2023
Christopher J Monte Individual Corporate OfficerVice President Aug 1, 2023
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2023 100%

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 193

Practitioners & affiliated clinicians

Practitioners 88

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1558049742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR STE 202",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121948",
            "telephone_number": "276-666-0452",
            "fax_number": "276-666-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sovah Internal Medicine - Martinsville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sovah Internal Medicine - Martinsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.