Active NPI
Central Virginia Imaging, LLC
- Radiology Clinic/Center
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- CENTRAL VIRGINIA IMAGING, LLC
- Practice address
- 113 Nationwide Dr
Lynchburg, VA 24502-4272 - Phone
- (434) 237-4004
- Fax
- (434) 237-4450
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Oliver Hicks
- Title
- Vice President
- Phone
- (434) 944-0513
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
113 Nationwide Dr
Lynchburg, VA 24502-4272
Mailing address
113 Nationwide Drive
Lynchburg, VA 24502
Phone (434) 237-4004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220809000046 | TN | Part B Supplier - Clinic/Group Practice | 1658350475 |
Receives reassigned benefits from 1 practitioner 3 other NPIs on this enrollment Practice locations: Signal Mountain, TN |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Central Virginia Imaging
- Diagnostic Radiology Physician
- Lynchburg, VA
- NPI 1215817374
1658350475
-
dba Centra Central Virginia Imaging, LLC
- Physiological Laboratory
- Lynchburg, VA
- NPI 1336914134
1658350475
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Central Virginia Imaging Langhorne
- Diagnostic Radiology Physician
- Lynchburg, VA
- NPI 1043190101
O20220809000046
-
dba Central Virginia Imaging
- Diagnostic Radiology Physician
- Lynchburg, VA
- NPI 1215817374
O20220809000046
-
dba Centra Central Virginia Imaging, LLC
- Physiological Laboratory
- Lynchburg, VA
- NPI 1336914134
O20220809000046
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700524800000",
"number": "1578594412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 NATIONWIDE DRIVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24502",
"telephone_number": "434-237-4004",
"fax_number": "434-237-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 NATIONWIDE DR",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245024272",
"telephone_number": "434-237-4004",
"fax_number": "434-237-4450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL VIRGINIA IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "OLIVER",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "434-944-0513"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
- Central Virginia Hospital for Restorative and Rehabilitative Care LLC (Centra Specialty Hospital)
- Central Virginia Hospital for Restorative and Rehabilitative Care, LLC
- Central Virginia Imaging, LLC (Central Virginia Imaging Langhorne)
- Central Virginia Imaging, LLC (Central Virginia Imaging)
- Central Virginia Imaging, LLC (Centra Central Virginia Imaging, LLC)
- Central Virginia Medical Center LLC (Central Virginia Medical Center)
- Central Virginia Orthodontics, P.C.
- Bram Chaconas
- Lauren Ashley Chadwick
- Kenneth Reid Chalfant, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.