Active NPI
Pathway Healthcare-Virginia, LLC
- Family Medicine Physician
- Big Stone Gap, VA
National Provider Identifier
1639709769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PATHWAY HEALTHCARE-VIRGINIA, LLC
- Practice address
- 1941 Neeley Rd
Big Stone Gap, VA 24219-4474 - Phone
- (703) 544-7861
- NPI assigned
- Jan 16, 2020
- 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
- Melissa Cox
- Title
- Credentialing
- Phone
- (205) 208-9312
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X |
Addresses
Primary practice location
1941 Neeley Rd
Big Stone Gap, VA 24219-4474
Mailing address
1000 Urban Center Dr Ste 600
Vestavia, AL 35242-2584
Phone (205) 208-9312
National Provider Directory
National Provider DirectoryLocations
1941 Neeley Rd
Big Stone Gap, VA 24219
Phone (703) 544-7861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622505600000",
"number": "1639709769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 URBAN CENTER DR STE 600",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352422584",
"telephone_number": "205-208-9312",
"fax_number": "205-848-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 NEELEY RD",
"city": "BIG STONE GAP",
"state": "VA",
"postal_code": "242194474",
"telephone_number": "703-544-7861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAY HEALTHCARE-VIRGINIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-16",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "205-208-9312"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Big Stone Gap, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.