Appalachian Medical Associates LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

APPALACHIAN MEDICAL ASSOCIATES LLC

Practice address

5453 Gov. G.C. Peery Hwy
Suite 1
Raven, VA 24639

Phone

(276) 245-4433

Fax

(276) 345-4424

NPI assigned

Apr 23, 2019

Last updated

Apr 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordan Compton

Title

Owner

Phone

(865) 803-8372

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Margaret J Gregorczyk, MD

  • Addiction Medicine (Family Medicine) Physician
  • Raven, VA
  • NPI 1982623385
  NPD (past)

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1740844067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 884",
            "city": "RAVEN",
            "state": "VA",
            "postal_code": "24639",
            "telephone_number": "276-345-4433",
            "fax_number": "276-345-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 GOV. G.C. PEERY HWY",
            "address_2": "SUITE 1",
            "city": "RAVEN",
            "state": "VA",
            "postal_code": "24639",
            "telephone_number": "276-245-4433",
            "fax_number": "276-345-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-803-8372"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Edward Anselmi, MD
• Chores and Errands Ambulance Inc
• Lucinda Clifton
• Deskins Hometown Pharmacy, Inc. (HomeTown Pharmacy)
• Margaret J Gregorczyk, MD
• Catherine B. Harris, R.PH.

• Substance Use Disorder Rehabilitation Clinic/Center in Raven, VA
• Providers in Raven, VA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.