Piedmont Access to Health Services, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Martinsville, VA
NPI 1841323151 · NPPES record last updated Feb 22, 2024
Key facts
- NPI
- 1841323151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PIEDMONT ACCESS TO HEALTH SERVICES, INC
- Practice address
- 315 Hospital Dr
Martinsville, VA 24112-1945 - Phone
- (276) 632-2966
- Fax
- (276) 632-0841
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Marsha Mendenhall
- Title
- Ceo
- Phone
- (434) 791-3630
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 11
Practitioners 45
-
Deirdre Arroyo, NP
-
Clare Daniel Doss, FNP-C
-
Stacey Thompson, LPC-S
-
Jinean Tanette Barnes, DNP, FNP-BC
-
Jacob Cody Beach, MSN,APRN,FNP-C, CEN
-
Lenworth A Beaver, M.D.
-
Andrea R Cobb, MD
-
Ashleigh Dixon, FNP-C
-
Frank Dolan Jr., NP
-
Theresa Gay Duffey, LCSW
-
Marie Goodwin, MSN FNP-C
-
Fatima Guzman-Gawel, M.D.
-
Karen P Hill, FNP-C
-
Kelly Arendall Hill, RN, MSN, NP-A
-
Carolyn Shores Hoyle, APRN/ FNP-C
-
Susan D Hundley, MD
-
Phyllis T McCormick, RNC-OGNP
-
James T. Milam, M.D.
-
Ann Paige Morris, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA
Federally qualified health center certification: CCN 491862
- Legal name
- PIEDMONT ACCESS TO HEALTH SERVICES INC
- Doing business as
- HEALTH CENTERS OF THE PIEDMONT-MARTINSVILLE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 29, 2004
- Last certification
- Nov 29, 2004
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 4, 2001 in VA
- Enrollment address
- 315 Hospital Dr
Martinsville, VA 24112-1945
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Brandie King |
Corporate Director |
Dec 1, 2019 | |
| Rita Childress |
Corporate Director |
Aug 1, 2021 | |
| James Daniel |
Corporate Director |
Jul 1, 2021 | |
| Laura Luffman |
Corporate Director |
Jul 1, 2023 | |
| Clarence Kirby |
Corporate Director |
Jul 1, 2013 | |
| Barry Mayo |
Corporate Director |
Jul 1, 2016 | |
| Rachel Boyer |
Corporate Director |
Jul 1, 2023 | |
| Kathleen Bullano |
Corporate Director |
Jul 23, 2023 | |
| Tori Lester |
Corporate Director |
Jun 1, 2019 | |
| W-2 Managing Employee |
Jun 1, 2019 | ||
| Gregory G Braund |
Corporate Director |
Oct 1, 2021 | |
| Marsha Mendenhall |
Corporate Director |
Jun 1, 2019 | |
| Operational/Managerial Control |
Jun 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041006000658 | VA | Part a Provider - Federally Qualified Health Center (FQHC) | 3476512427 |
1 other NPI on this enrollment Practice locations: Martinsville, VA |
| O20050304000592 | VA | Part B Supplier - Clinic/Group Practice | 3476512427 |
Receives reassigned benefits from 81 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Boydton, VA; Martinsville, VA; Chatham, VA; Danville, VA |
National Provider Directory
Locations
315 Hospital Dr
Martinsville, VA 24112
Phone (276) 224-2655
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
315 Hospital Dr
Martinsville, VA 24112-1945
Mailing address
705 Main St
Danville, VA 24541-1803
Phone (434) 791-3630
Other names
- Health Center of the Piedmont Martinsville
Other providers in Martinsville, VA
- Jennifer Walker Phelps
- Krystal Inman Phillips
- Phoenix Home Care of Virginia
- Physician Management Services of Virginia II, LLC
- Piedmont Access to Health Services, Inc
- Piedmont Dermatology Center, PC
- Piedmont Diagnostic Radiology PC
- Piedmont Medical and Renal Associates
- Piedmont Podiatry Associates
- Piedmont Regional Community Services Board
All providers in Martinsville, VA · Federally Qualified Health Center (FQHC) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2024. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.