Individual provider Active NPI

Micah Pacifico, FNP-C

  • Family Nurse Practitioner
  • Danville, VA
National Provider Identifier
1649819558
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178617 Issued in VA
Practice address
949 Piney Forest Rd
Danville, VA 24540-1591
Phone
(434) 835-4876
Fax
(434) 835-4875
NPI assigned
Dec 26, 2019
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178617 VA Primary

Addresses

Primary practice location

949 Piney Forest Rd
Danville, VA 24540-1591

Mailing address

949 Piney Forest Rd
Danville, VA 24540-1591
Phone (434) 835-4876

Other practice location 1

3130 Ste C Halifax Road
South Boston, VA 24592-0001
Phone (434) 835-4876

Other identifiers 2

IdentifierTypeStateIssuer
0024178617OtherVAAPPLIED NOT COMPLETE
1225430648OtherVANOT YET CREDENTIALED

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address godocs@godocsmed.com 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200127001176 VA Practitioner - Nurse Practitioner 2062847791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Docs LLCGroup PAC ID 0042532350, 5 clinicians

Practice addresses (Care Compare)

949 Piney Forest Rd
Danville, VA 24540-1591
Phone (434) 835-4876

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024178617VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Go Docs LLC CurrentSince Dec 26, 2019 Accepting new patients
Godocs South Boston, LLC CurrentSince Dec 26, 2019 Accepting new patients
Godocs, LLC Current Accepting new patients

Locations

949 Piney Forest Rd
Danville, VA 24540
Phone (434) 835-4876

3130 Halifax Rd
Ste C
South Boston, VA 24592
Phone (434) 835-4876

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1649819558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401591",
            "telephone_number": "434-835-4876",
            "fax_number": "434-835-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401591",
            "telephone_number": "434-835-4876",
            "fax_number": "434-835-4875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 STE C HALIFAX ROAD",
            "address_purpose": "LOCATION",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245920001",
            "country_code": "US",
            "telephone_number": "434-835-4876",
            "fax_number": "434-835-4875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACIFICO",
        "first_name": "MICAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-26",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLIED NOT COMPLETE",
            "identifier": "0024178617",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT YET CREDENTIALED",
            "identifier": "1225430648",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "godocs@godocsmed.com",
            "affiliation": "N",
            "endpointDescription": "Provider Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "949 Piney Forest Rd",
            "city": "Danville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245401591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.