NPIMap

Organization Active NPI

Commonwealth of Virginia State Board of Health

  • Public Health or Welfare Agency
  • Appomattox, VA
National Provider Identifier
1710936729
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Practice address
475 Court Street
Appomattox, VA 24522
Phone
(434) 352-2313
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kerry Gateley, MD
Title
Director Central VA. Health Distric
Phone
(434) 947-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X VA Primary

Addresses

Primary practice location

475 Court Street
Appomattox, VA 24522

Mailing address

PO Box 355
475 Court Street
Appomattox, VA 24522-0355
Phone (434) 352-2313

Other identifiers 5

IdentifierTypeStateIssuer
21236OtherVAOPTIMA
004975260MedicaidVA
266451OtherVAANTHEM
00994OtherVASOUTHERN HEALTH CARENET
61553OtherVACARENET

Other names 1

  • Appomattox County Health Department Doing business as

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000414 VA Part B Supplier - Public Health/Welfare Agency 0547174369 Receives reassigned benefits from 6 practitioners
This NPI is an additional NPI on the enrollment
O20040206000622 VA Part B Supplier - Clinic/Group Practice 0547174369 Receives reassigned benefits from 30 practitioners
45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Independence, VA; Prince George, VA; Jonesville, VA; Lawrenceville, VA; Lebanon, VA; Louisa, VA; Lynchburg, VA; Marion, VA…

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710936729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "address_2": "475 COURT STREET",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245220355",
            "telephone_number": "434-352-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 COURT STREET",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "24522",
            "telephone_number": "434-352-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GATELEY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "DIRECTOR CENTRAL VA. HEALTH DISTRIC",
        "authorized_official_telephone_number": "434-947-6777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "21236",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004975260",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "266451",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH CARENET",
            "identifier": "00994",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARENET",
            "identifier": "61553",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appomattox County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appomattox, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.