Individual provider Active NPI

Jefferson Mark Prichard, M.D.

  • Hematology & Oncology Physician
  • Charlottesville, VA
National Provider Identifier
1609899400
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101232678 Issued in VA
Practice address
500 Martha Jefferson Dr
Charlottesville, VA 22911
Phone
(434) 654-8390
Fax
(434) 654-8399
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101232678 VA Primary

Addresses

Primary practice location

500 Martha Jefferson Dr
Charlottesville, VA 22911

Mailing address

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-8390

Other practice location 1

2008 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-7000

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
I20110726000033 VA Practitioner - Hematology/Oncology 9032188958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians
Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians

Practice addresses (Care Compare)

2008 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-7000

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-8390

Hospital & facility affiliations

  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009
  • Augusta Health Hospital, Fishersville, VA, CCN 490018
  • Page Memorial Hospital, Inc Hospital, Luray, VA, CCN 491307

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Aug 17, 2021 Accepting new patients
Martha Jefferson Medical Group LLC Hematology & Oncology CurrentSince Aug 1, 2011 Accepting new patients
RMH Medical Group LLC CurrentSince Aug 17, 2021 Accepting new patients
Adventist Health System Georgia Inc PastSince Jan 1, 2003 Accepting new patients
North Georgia Eye Care LLC Past Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

500 Martha Jefferson Dr
Ste 315A
Charlottesville, VA 22911
Phone (434) 654-8390

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2008 Health Campus Dr
Rockingham, VA 22801
Phone (540) 564-5532

Organizations & group practices 6

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 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1609899400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARTHA JEFFERSON DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114668",
            "telephone_number": "434-654-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARTHA JEFFERSON DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22911",
            "telephone_number": "434-654-8390",
            "fax_number": "434-654-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2008 Health Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-689-7000",
            "fax_number": "540-689-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICHARD",
        "first_name": "JEFFERSON",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101232678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.