Organization Active NPI

Pathway Healthcare-Virginia, LLC

  • Family Medicine Physician
  • Big Stone Gap, VA
National Provider Identifier
1639709769
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jun 1, 2021

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.