Organization Active NPI

Viers Medical Clinic PLLC

  • Family Nurse Practitioner
  • Haysi, VA
National Provider Identifier
1740840537
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Henry P Viers, NPNPI 1700123122
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1740840537MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190821004930 VA Part B Supplier - Clinic/Group Practice 9133457658 Receives reassigned benefits from 2 practitioners
Practice locations: Haysi, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2189408Viers Medical Clinic23660 Dickenson Hwy, Haysi, VA 24256Certificate of waiverJul 29, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.