Individual provider Active NPI

Samuel D Caughron, MD

  • Family Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1609817121
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101029225 Issued in VA
Practice address
901 Preston Ave
Suite 300
Charlottesville, VA 22903-4491
Phone
(434) 977-3140
Fax
(434) 977-4984
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0101029225 VA Primary

Addresses

Primary practice location

901 Preston Ave
Suite 300
Charlottesville, VA 22903-4491

Mailing address

901 Preston Ave
Suite 300
Charlottesville, VA 22903-4491
Phone (434) 977-3140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101029225VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609817121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PRESTON AVE",
            "address_2": "SUITE 300",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034491",
            "telephone_number": "434-977-3140",
            "fax_number": "434-977-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PRESTON AVE",
            "address_2": "SUITE 300",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034491",
            "telephone_number": "434-977-3140",
            "fax_number": "434-977-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGHRON",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101029225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.