NPIMap

Organization Active NPI

Commonwealth of Virginia State Board of Health

Doing business as Lynchburg Health Department

  • Public Health or Welfare Agency
  • Lynchburg, VA
National Provider Identifier
1790745321
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Doing business as
Lynchburg Health Department
Practice address
1900 Thomson Dr
Lynchburg, VA 24501-1009
Phone
(434) 947-6777
Fax
(434) 947-2338
NPI assigned
Mar 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Kerry W Gateley, MD,MPH, CPENPI 1881898781
Title
Director Central VA. Health Distict
Phone
(434) 477-5923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X VA Primary

Addresses

Primary practice location

1900 Thomson Dr
Lynchburg, VA 24501-1009

Mailing address

307 Alleghany Ave
Lynchburg, VA 24501-2605
Phone (434) 477-5923

Other names 1

  • Lynchburg Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000414 VA Part B Supplier - Public Health/Welfare Agency 0547174369 Receives reassigned benefits from 6 practitioners
This NPI is an additional NPI on the enrollment
O20040206000622 VA Part B Supplier - Clinic/Group Practice 0547174369 Receives reassigned benefits from 30 practitioners
45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Independence, VA; Prince George, VA; Jonesville, VA; Lawrenceville, VA; Lebanon, VA; Louisa, VA; Lynchburg, VA; Marion, VA…

Other NPIs on the same Medicare enrollment 45

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

View all 45

National Provider Directory

National Provider Directory
Part of
Bristol VA HLTH Departm

Locations

307 Alleghany Ave
Lynchburg, VA 24501
Phone (434) 477-5955

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": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790745321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 ALLEGHANY AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012605",
            "telephone_number": "434-477-5923",
            "fax_number": "434-947-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011009",
            "telephone_number": "434-947-6777",
            "fax_number": "434-947-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GATELEY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR CENTRAL VA. HEALTH DISTICT",
        "authorized_official_telephone_number": "434-477-5923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,MPH, CPE"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynchburg Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.