Tina Michelle Compton, FNP
Individual provider Active NPI Family Medicine Physician · Grundy, VA
NPI 1700940327 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700940327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0024000072 (VA)
- Practice address
- RT 5
BGH Prof BLDG Suite 101
Grundy, VA 24614 - Phone
- (276) 935-2080
- Fax
- (276) 935-2082
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Buchanan Health Center Inc
Practice addresses (Care Compare)
1532 Slate Creek Rd
Suite 101
Grundy, VA 24614-6975
Phone (276) 935-2080
PO Box
Suite 1217
Grundy, VA 24614-6975
Hospital & facility affiliations
- Special Care Home Health
- Buchanan General Hospital
- Pikeville Medical Center
- Clinch Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050324001298 | VA | Practitioner - Nurse Practitioner | 4880649292 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buchanan Health Diabetes Center | Current |
Accepting new patients | |
| Buchanan Health Center Inc | Family Medicine | Current |
Accepting new patients |
Locations
1532 Slate Creek Rd
Ste 101
Grundy, VA 24614
Phone (276) 935-2080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0024000072 | VA | Yes |
Addresses
Primary practice location
RT 5
BGH Prof BLDG Suite 101
Grundy, VA 24614
Mailing address
PO Box 1217
Grundy, VA 24614
Phone (276) 935-2080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78006293 | Medicaid | KY | |
| 7107503000 | Medicaid | WV |
Other providers in Grundy, VA
- Jenny Cole
- Susan L Coleman
- Commonwealth Internal Medicine and Pediatrics
- Comprehensive Family Practice, Inc
- David Compton
- Jean M Condon
- Kourtney Cook
- Christopher S Copley
- Coty Yates Crigger
- Richard Howard Davis
All providers in Grundy, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.