Individual provider Active NPI

Charles Benny Lovelady, M.D., FACS

  • Surgery Physician
  • Rocky Mount, VA
National Provider Identifier
1669496626
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
101243927 Issued in VA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
112843MedicaidAL
51049416OtherALBLUE 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
101243927VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles B. Lovelady, M.D., P.C. PastSince Feb 21, 2002 Accepting new patients
Cullman Surgical Associates, P.C. Surgery PastSince Dec 19, 1997 Accepting new patients
Highlands Surgical Services LLC Surgery Past Accepting new patients
Franklin Clinic Corp Surgery PastSince Sep 1, 2010 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.