Individual provider Active NPI

Virginia Pascual, M.D.

  • Internal Medicine Physician
  • Byron, GA
National Provider Identifier
1780775247
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7919 Issued in MT
Practice address
212 Ga Highway 49 N Ste 1900
Byron, GA 31008-4059
Phone
(478) 238-3552
Fax
(478) 259-6170
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7919 MT Primary

Addresses

Primary practice location

212 Ga Highway 49 N Ste 1900
Byron, GA 31008-4059

Mailing address

1408 Kilrush Dr
Ormond Beach, FL 32174-2882
Phone (406) 495-7265

Other identifiers 3

IdentifierTypeStateIssuer
0024191MedicaidMT
1193597MedicaidWY
13771OtherMTBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, GA, NY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210921002728 AL Practitioner - Internal Medicine 7911912845 Reassigns benefits to 1 organization
I20211029002412 FL Practitioner - Internal Medicine 7911912845 Reassigns benefits to 1 organization
I20220406000922 GA Practitioner - Internal MedicinePractitioner - Sleep Medicine 7911912845 Reassigns benefits to 1 organization
I20251117002494 NY Practitioner - Sleep MedicinePractitioner - Internal Medicine 7911912845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
University of Mississippi School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sliiip Medical Group P aGroup PAC ID 8426469826, 14 clinicians

Practice addresses (Care Compare)

212 Ga Hwy 49 N
Suite 1900
Byron, GA 31008-4059
Phone (478) 238-3552

212 Hwy 49 N
Suite 1900
Byron, GA 31008-4059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14816ALMDPharmacist
7919MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jun 10, 2021 Accepting new patients
Livingston Healthcare Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Big Sky Radiology LTD Past Accepting new patients
Livingston Healthcare Past Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1780775247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 KILRUSH DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321742882",
            "telephone_number": "406-495-7265",
            "fax_number": "406-443-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 GA HIGHWAY 49 N STE 1900",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310084059",
            "telephone_number": "478-238-3552",
            "fax_number": "478-259-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "7919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024191",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1193597",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "13771",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, GA

Sources for this page

Verify at the official NPI Registry.