Individual provider Active NPI

Lindsay R Caine-Conley

  • Physician Assistant
  • Charlottesville, VA
National Provider Identifier
1679815930
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004186 Issued in VA
Practice address
103 S Pantops Dr Ste 102
Charlottesville, VA 22911-8617
Phone
(434) 220-0080
NPI assigned
Mar 25, 2013
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004186 VA Primary

Addresses

Primary practice location

103 S Pantops Dr Ste 102
Charlottesville, VA 22911-8617

Mailing address

738 Madison Ave Apt C
Charlottesville, VA 22903-2138
Phone (651) 334-2216

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
I20130821000027 VA Practitioner - Physician Assistant 8729221825 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110004186VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince May 19, 2017 Accepting new patients
Centra Health Professional Services, LLC CurrentSince May 19, 2017 Accepting new patients
Addiction Recovery Systems LLC PastSince Dec 16, 2020 Accepting new patients
Tapestry 360 Health Past Accepting new patients
Addiction Recovery Systems LLC PastSince Aug 27, 2023 Accepting new patients

Locations

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

Interoperability endpoints

  • Direct secure messaging: lindsay.caine-conley.1@27315.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1679815930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 MADISON AVE APT C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032138",
            "telephone_number": "651-334-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S PANTOPS DR STE 102",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118617",
            "telephone_number": "434-220-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAINE-CONLEY",
        "first_name": "LINDSAY",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.