White Oak Primary Care, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WHITE OAK PRIMARY CARE, INC.

Practice address

235 N Main St
Halifax, VA 24558-2995

Phone

(434) 830-2605

Fax

(434) 830-2258

NPI assigned

Apr 24, 2020

Last updated

Apr 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shannon N Scearce, DNP, FNP-CNPI 1407957095

Title

Owner/President/Provider

Phone

(434) 830-2605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon N Scearce, DNP, FNP-C

  • Family Nurse Practitioner
  • Halifax, VA
  • NPI 1407957095
  Medicare reassignment NPD Authorized official
• Kimberly Lloyd Jones, LPN

  • Licensed Practical Nurse
  • Halifax, VA
  • NPI 1518857747
  NPD
• Francis Barnes Mitchell, MD

  • Family Medicine Physician
  • Halifax, VA
  • NPI 1326089095
  NPD (past)
• Brenda Sue Waller, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lynchburg, VA
  • NPI 1093794133
  NPD (past)

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1639799166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N MAIN ST",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245582995",
            "telephone_number": "434-830-2605",
            "fax_number": "434-830-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N MAIN ST",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245582995",
            "telephone_number": "434-830-2605",
            "fax_number": "434-830-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "SCEARCE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "434-830-2605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon N Scearce, DNP, FNP-C
• Harvey Abraham Smith
• Strategic Therapy Associates
• Herman Lee Thomas Jr., RN
• Bettina H Walker
• Youngers Adult Home
• Megan Jean Zamora

• Primary Care Clinic/Center in Halifax, VA
• Providers in Halifax, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.