Susan D Hundley, MD
Individual provider Active NPI Family Medicine Physician · Danville, VA
NPI 1811979529 · NPPES record last updated Nov 3, 2013
Key facts
- NPI
- 1811979529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101057959 (VA)
- Practice address
- 705 Main St
Danville, VA 24541-1803 - Phone
- (434) 791-3630
- Fax
- (434) 791-4088
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Virginia School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Access to Health Services Inc
Practice addresses (Care Compare)
287 Commonwealth W Blvd
Martinsville, VA 24112-1820
Phone (276) 632-2966
380 Washington St
Boydton, VA 23917-3415
Phone (434) 738-6420
705 Main St
Danville, VA 24541-1803
Phone (434) 791-4122
Hospital & facility affiliations
- Amedisys Home Health
- 1St Care Home Health South Boston
- Sentara Halifax Regional Hospital
- Community Memorial Hospital
- Granville Health Systems
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080129000349 | VA | Practitioner - Family Practice | 9638251754 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101057959 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Access to Health Services, Inc | Current |
Accepting new patients | |
| Piedmont Access to Health Services, Inc | Current |
Accepting new patients | |
| Piedmont Access to Health Services, Inc | Current | Accepting new patients | |
| Rehabilitation Associates of Central Virginia, Inc. | Past | Accepting new patients | |
| Central Virginia Family Physicians, Inc. Laboratory | Past | Accepting new patients | |
| Radiation Oncology of San Antonio, PA | Past | Accepting new patients | |
| Piedmont Access to Health Services Inc | Past | Accepting new patients | |
| Mecklenburg Family Practice | Family Medicine | Past | Accepting new patients |
| Oncology San Antonio | Past |
Accepting new patients |
Locations
969 Madison St
Boydton, VA 23917
Phone (434) 476-4863
380 Washington St
Boydton, VA 23917
Phone (434) 738-6102
705 Main St
Danville, VA 24541
Phone (434) 791-4122
315 Hospital Dr
Martinsville, VA 24112
Phone (276) 224-2655
Interoperability endpoints
- susan.hundley@paths.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101057959 | VA | Yes |
Addresses
Primary practice location
705 Main St
Danville, VA 24541-1803
Mailing address
380 Washington St
Boydton, VA 23917-3415
Phone (434) 738-6420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005608457 | Medicaid | VA |
Other providers in Danville, VA
- Leslie Lynn Huffman
- Rachael M Huggins
- Hughes Center LLC
- Andrew Oliver Hughes
- Jun Young Huh
- John David Hungarland
- Rafael V Hurtado
- Henry Huson II
- Megan Hyler
- Bradford Hylton
All providers in Danville, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.