Active NPI
Viers Medical Clinic PLLC
- Family Nurse Practitioner
- Haysi, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VIERS MEDICAL CLINIC PLLC
- Practice address
- 23660 Dickenson Highway
Haysi, VA 24256 - Phone
- (276) 865-7155
- Fax
- (276) 865-7996
- NPI assigned
- Jun 14, 2019
- Last updated
- Jul 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henry P Viers, NP
- Title
- Owner
- Phone
- (276) 218-0401
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
23660 Dickenson Highway
Haysi, VA 24256
Mailing address
23660 Dickenson Highway
Haysi, VA 24256
Phone (276) 865-7155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740840537 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2189408 | Viers Medical Clinic | Certificate of waiver | Jul 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
246 Haysi Main St
Haysi, VA 24256
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Haysi, VA
- NPI 1700123122
-
- Family Nurse Practitioner
- Haysi, VA
- NPI 1265318281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626825600000",
"number": "1740840537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23660 DICKENSON HIGHWAY",
"city": "HAYSI",
"state": "VA",
"postal_code": "24256",
"telephone_number": "276-865-7155",
"fax_number": "276-865-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23660 DICKENSON HIGHWAY",
"city": "HAYSI",
"state": "VA",
"postal_code": "24256",
"telephone_number": "276-865-7155",
"fax_number": "276-865-7996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIERS MEDICAL CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-14",
"last_updated": "2021-07-21",
"certification_date": "2021-06-24",
"status": "A",
"authorized_official_last_name": "VIERS",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "276-218-0401",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740840537",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haysi, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.