Organization Active NPI

Wythe County Physician Practices LLC

  • Family Medicine Physician
  • Wytheville, VA
National Provider Identifier
1780630327
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WYTHE COUNTY PHYSICIAN PRACTICES LLC
Practice address
600 W Ridge Rd
Wytheville, VA 24382-1044
Phone
(276) 228-0200
Fax
(276) 228-0397
NPI assigned
May 25, 2006
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Certified Registered Nurse Anesthetist 367500000X
Pain Medicine (Anesthesiology) Physician 207LP2900X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Obstetrics & Gynecology Physician 207V00000X
Orthopaedic Surgery Physician 207X00000X
Otolaryngology Physician 207Y00000X VA
Pediatrics Physician 208000000X
Diagnostic Radiology Physician 2085R0202X
Vascular & Interventional Radiology Physician 2085R0204X
Surgery Physician 208600000X
General Practice Physician 208D00000X

Addresses

Primary practice location

600 W Ridge Rd
Wytheville, VA 24382-1044

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other practice location 1

360 Virginia Ave Ste B
Wytheville, VA 24382-1185
Phone (276) 228-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, AZ, PA, CA, NY, GA, AL, SC, MI, LA, NV, IL13 enrollments

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
O20060209000451 VA Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 59 practitioners
4 other NPIs on this enrollment
Practice locations: Wytheville, VA; Galax, VA; Rural Retreat, VA; Max Meadows, VA
O20250108001693 FL Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Weston, FL; Cantonment, FL
O20250108004240 AZ Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scottsdale, AZ
O20250109000201 PA Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Plymouth Meeting, PA
O20250114003741 CA Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport Coast, CA
O20250121000216 NY Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sag Harbor, NY; Farmingdale, NY
O20250125000050 GA Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atlanta, GA; Peachtree City, GA
O20250226002134 AL Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Birmingham, AL
O20250227001360 SC Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Blythewood, SC; North Augusta, SC
O20250227002326 MI Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 2 practitioners
Practice locations: Northville, MI; Saginaw, MI
O20250509002912 LA Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 1 practitioner
Practice locations: Metairie, LA
O20251219002444 NV Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20260325003746 IL Part B Supplier - Clinic/Group Practice 7517972789 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Brook, IL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Locations

106 Doctors Park
Galax, VA 24333
Phone (276) 236-5161

321 E Buck Ave
Rural Retreat, VA 24368
Phone (276) 686-4143

445 Gienow Rd
Rural Retreat, VA 24368
Phone (276) 686-4007

1 Maroon Way
Wytheville, VA 24382
Phone (276) 228-3157

320 W Main St
Wytheville, VA 24382
Phone (276) 335-2116

360 Virginia Ave
Wytheville, VA 24382
Phone (276) 228-0080

360 Virginia Ave
#A
Wytheville, VA 24382
Phone (276) 227-0375

360 Virginia Ave
#B
Wytheville, VA 24382
Phone (276) 223-1430

590 W Ridge Rd
Ste D
Wytheville, VA 24382
Phone (276) 228-5506

590 W Ridge Rd
Ste J
Wytheville, VA 24382
Phone (276) 228-2405

710 W Ridge Rd
Ste F
Wytheville, VA 24382
Phone (276) 223-1334

Practitioners & affiliated clinicians

Practitioners 117

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.

View all 117

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1780630327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821044",
            "telephone_number": "276-228-0200",
            "fax_number": "276-228-0397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Virginia Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243821185",
            "country_code": "US",
            "telephone_number": "276-228-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WYTHE COUNTY PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.