Active NPI
Commonwealth Hospitalist Group, LLC
- Hospitalist Physician
- Pulaski, VA
National Provider Identifier
1659768414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- COMMONWEALTH HOSPITALIST GROUP, LLC
- Practice address
- 2400 Lee Hwy N
Pulaski, VA 24301-2326 - Phone
- (540) 994-8100
- NPI assigned
- Apr 20, 2015
- Last updated
- Mar 2, 2017
- 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
- Mr. Christopher Brian Durham
- Title
- President
- Phone
- (770) 874-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | NU | Primary |
Addresses
Primary practice location
2400 Lee Hwy N
Pulaski, VA 24301-2326
Mailing address
5665 New Northside Dr
Suite 320
Atlanta, GA 30328-5831
Phone (770) 874-5400
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488412800000",
"number": "1659768414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 NEW NORTHSIDE DR",
"address_2": "SUITE 320",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285831",
"telephone_number": "770-874-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 LEE HWY N",
"city": "PULASKI",
"state": "VA",
"postal_code": "243012326",
"telephone_number": "540-994-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMONWEALTH HOSPITALIST GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-20",
"last_updated": "2017-03-02",
"status": "A",
"authorized_official_last_name": "DURHAM",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-874-5400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pulaski, VA
- Casimir Emergency Physicians, LLC
- Yung C. Chan, M.D.
- Bryan D. Clark, D.O.
- Loree D Clauss, RD
- Columbia Medical Group-Southwest Virginia, in (Pulaski Physicians)
- Commonwealth of Virginia State Board of Health (Pulaski County Health Department)
- Tyreese Conquest
- Raymond Ibarra Cruz, MD
- Benjamin Scott Davidson, M.D.
- Crystal M Davis, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.