NPIMap

Organization Active NPI

DLP Twin County Physician Practices, LLC

Doing business as Twin County Urgent Care

  • Internal Medicine Physician
  • Galax, VA
National Provider Identifier
1720445299
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DLP TWIN COUNTY PHYSICIAN PRACTICES, LLC
Doing business as
Twin County Urgent Care
Practice address
961 E Stuart Dr
Galax, VA 24333-2407
Phone
(276) 238-0439
Fax
(276) 238-0404
NPI assigned
Jan 28, 2016
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Mr. Jess Judy
Title
President
Phone
(615) 513-2763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

961 E Stuart Dr
Galax, VA 24333-2407

Mailing address

961 E Stuart Dr
Galax, VA 24333-2407
Phone (276) 238-0439

Other names 1

  • Twin County Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120503000011 VA Part B Supplier - Clinic/Group Practice 7214199512 Receives reassigned benefits from 86 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wytheville, VA; Winchester, VA; Sparta, NC; Independence, VA; Hillsville, VA; Goode, VA; Galax, VA; Charlottesville, VA…

Other NPIs on the same Medicare enrollment 20

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

View all 20

National Provider Directory

National Provider Directory
Tax ID family
DLP Twin Cty Phys Prac16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

225 Hospital Dr
Galax, VA 24333
Phone (276) 236-6906

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1720445299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 E STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332407",
            "telephone_number": "276-238-0439",
            "fax_number": "276-238-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 E STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332407",
            "telephone_number": "276-238-0439",
            "fax_number": "276-238-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP TWIN COUNTY PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-513-2763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin County Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.