Hartwell Thomas Rainey V, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

15769 WC Main St
Midlothian, VA 23113-7327

Phone

(804) 419-9760

NPI assigned

Nov 9, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1730780461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15769 WC MAIN ST",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137327",
            "telephone_number": "804-794-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15769 WC MAIN ST",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137327",
            "telephone_number": "804-419-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "HARTWELL",
        "middle_name": "THOMAS",
        "name_suffix": "V",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0110007757",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan S Raddin, MD
• Radiance Dental PLLC
• Faria Rahman
• Fazalur Rahman
• Kavan Rai
• Kelli Gullen Thomas Rainey, CPNP-PC
• Eric James Rakes, PHARMD, BCGP
• Valerie Rakes, RD
• Debra Ramsey
• Frank E. Ramsey, M.D.

• Physician Assistant in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.