Active NPI
Nathan Benjamin Fountain
- Neurology Physician
- Charlottesville, VA
National Provider Identifier
1629147244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101048670
- Practice address
- 1221 Lee St
Charlottesville, VA 22908-0001 - Phone
- (434) 924-2706
- Fax
- (434) 924-9068
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0101048670 | VA | Primary |
Addresses
Primary practice location
1221 Lee St
Charlottesville, VA 22908-0001
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-0001
Phone (434) 924-0211
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nfountain3815@direct.healthsystem.virginia.edu | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Epileptologists
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1221 Lee St
Charlottesville, VA 22908-0001
Phone (434) 924-2500
Hospital & facility affiliations
- University of Virginia Medical Center
- Uva Health Prince William Medical Center
- Uva Health Haymarket Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 79.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Cleveland Clinic | Past | Accepting new patients |
Locations
1221 Lee St
Charlottesville, VA 22908
1221 Lee St Ground
Charlottesville, VA 22908
Phone (434) 924-2639
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
Interoperability endpoints
- nfountain3815@direct.healthsystem.virginia.edu
Organizations & group practices 2
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Clinic/Center
- Euclid, OH
- NPI 1558319491
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1629147244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080001",
"telephone_number": "434-924-2706",
"fax_number": "434-924-9068"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080001",
"country_code": "US",
"telephone_number": "434-924-0211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOUNTAIN",
"first_name": "NATHAN",
"middle_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101048670",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nfountain3815@direct.healthsystem.virginia.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1221 Lee St",
"city": "Charlottesville",
"state": "VA",
"country_code": "US",
"postal_code": "229080001",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.