Active NPI
Charles Benny Lovelady, M.D., FACS
- Surgery Physician
- Rocky Mount, VA
National Provider Identifier
1669496626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 101243927
- Practice address
- 390 S Main St Ste 302
Rocky Mount, VA 24151-1766 - Phone
- (540) 489-6348
- Fax
- (540) 489-6595
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 101243927 | VA | Primary |
Addresses
Primary practice location
390 S Main St Ste 302
Rocky Mount, VA 24151-1766
Mailing address
1088 Miriam Hill Dr
Rocky Mount, VA 24151-5967
Phone (540) 489-6348
Other practice location 1
95 Harris Rd Bldg 1
Kilmarnock Surgical Associates
Kilmarnock, VA 22482-3845
Phone (804) 435-8570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112843 | Medicaid | AL | |
| 51049416 | Other | AL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101243927 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles B. Lovelady, M.D., P.C. | Past | Accepting new patients | |
| Cullman Surgical Associates, P.C. | Surgery | Past | Accepting new patients |
| Highlands Surgical Services LLC | Surgery | Past | Accepting new patients |
| Franklin Clinic Corp | Surgery | Past | Accepting new patients |
| Evergreen Brewton Medical, Inc. | Surgery | Past | Accepting new patients |
| Franklin Clinic Corp | Past | Accepting new patients | |
| Charles B. Lovelady, M.D., L.L.C. | Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2017165a-e6da-4297-96d2-0da8973a33da/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Scottsboro, AL
- NPI 1174829089
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Franklin, VA
- NPI 1881171718
-
- Specialist
- Hartselle, AL
- NPI 1174676977
-
- Surgery Physician
- Cullman, AL
- NPI 1467603597
-
- Surgery Physician
- Brewton, AL
- NPI 1922234467
-
- Surgery Physician
- Scottsboro, AL
- NPI 1639514250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669496626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1088 MIRIAM HILL DR",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241515967",
"telephone_number": "540-489-6348",
"fax_number": "540-489-6595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 S MAIN ST STE 302",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241511766",
"telephone_number": "540-489-6348",
"fax_number": "540-489-6595"
}
],
"practiceLocations": [
{
"address_1": "95 Harris Rd Bldg 1",
"address_2": "Kilmarnock Surgical Associates",
"address_purpose": "LOCATION",
"city": "Kilmarnock",
"state": "VA",
"postal_code": "224823845",
"country_code": "US",
"telephone_number": "804-435-8570",
"fax_number": "804-435-8037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVELADY",
"first_name": "CHARLES",
"middle_name": "BENNY",
"name_prefix": "Dr.",
"credential": "M.D., FACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "101243927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112843",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51049416",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.