Organization Active NPI

Halifax Endocrinology and Osteoporosis Center PC

  • Endocrinology, Diabetes & Metabolism Physician
  • South Boston, VA
National Provider Identifier
1801900113
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101052342 Issued in VA
Legal business name
HALIFAX ENDOCRINOLOGY AND OSTEOPOROSIS CENTER PC
Practice address
2232 Wilborn Ave
Suite B
South Boston, VA 24592-1662
Phone
(434) 575-5844
Fax
(434) 575-0862
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Dr. Tessie Otero-Truitt, MD, FACP FACENPI 1700881885
Title
Owner/President
Phone
(434) 575-5844

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 0101052342 VA Primary

Addresses

Primary practice location

2232 Wilborn Ave
Suite B
South Boston, VA 24592-1662

Mailing address

2232 Wilborn Ave
Ste B
South Boston, VA 24592-1662
Phone (434) 575-5844

Other identifiers 3

IdentifierTypeStateIssuer
006082807MedicaidVA
44141OtherVAOPTIMA
281110OtherVABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080930000448 VA Part B Supplier - Clinic/Group Practice 0648347807 Receives reassigned benefits from 1 practitioner
Practice locations: South Boston, VA

National Provider Directory

National Provider Directory

Locations

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18688/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1801900113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 WILBORN AVE",
            "address_2": "STE B",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921662",
            "telephone_number": "434-575-5844",
            "fax_number": "434-575-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 WILBORN AVE",
            "address_2": "SUITE B",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921662",
            "telephone_number": "434-575-5844",
            "fax_number": "434-575-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX ENDOCRINOLOGY AND OSTEOPOROSIS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "OTERO-TRUITT",
        "authorized_official_first_name": "TESSIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "434-575-5844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP FACE"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101052342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006082807",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "44141",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "281110",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.