Individual provider Active NPI

Jason Scott Burns McLavy, MD

  • Internal Medicine Physician
  • Glen Allen, VA
National Provider Identifier
1639245459
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78962 Issued in FL
Practice address
11916 Blairmont PL
Glen Allen, VA 23059-5399
Phone
(352) 239-1777
NPI assigned
Nov 24, 2006
Last updated
May 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME78962 FL Primary

Addresses

Primary practice location

11916 Blairmont PL
Glen Allen, VA 23059-5399

Mailing address

11916 Blairmont PL
Glen Allen, VA 23059-5399
Phone (352) 239-1777

Other identifiers 3

IdentifierTypeStateIssuer
47249OtherFLBCBS - FL
P00466892OtherFLRR MEDICARE
256116600MedicaidFL

Other names 1

  • Jason Scott McLavy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, WV, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130528000568 TN Practitioner - Internal Medicine 7214993948 Reassigns benefits to 1 organization
I20140304002105 GA Practitioner - Internal Medicine 7214993948 Reassigns benefits to 1 organization
I20150729007250 WV Practitioner - Internal Medicine 7214993948 Reassigns benefits to 2 organizations
I20200303001627 VA Practitioner - Internal Medicine 7214993948 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49656TNMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of West Virginia- TCG PLLC Internal Medicine CurrentSince Feb 12, 2022 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Jan 6, 2020 Accepting new patients
Hospitalist Medicine Physicians of West Virginia-Wheeling, PLLC Internal Medicine CurrentSince Dec 14, 2019 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Virginia - Richmond, LLC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Jan 6, 2020 Accepting new patients
Cogent Healthcare of Tennessee, PC Internal Medicine CurrentSince Apr 6, 2013 Accepting new patients
Hospitalist Medicine Physicians of Connecticut - TCS Internal Medicine Past Accepting new patients
Cogent Healthcare of Ocala, LLC Internal Medicine Past Accepting new patients

Locations

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123

Interoperability endpoints

  • Direct secure messaging: jmclavy1086628@valleyhealth.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1639245459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11916 BLAIRMONT PL",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595399",
            "telephone_number": "352-239-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11916 BLAIRMONT PL",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595399",
            "telephone_number": "352-239-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAVY",
        "first_name": "JASON",
        "middle_name": "SCOTT BURNS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - FL",
            "identifier": "47249",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00466892",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256116600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "MCLAVY",
            "middle_name": "SCOTT",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.