NPIMap

Organization Active NPI

Danville Physician Practices LLC

Doing business as Sovah Internal Medicine - Danville

  • Rural Health Clinic/Center
  • Danville, VA
National Provider Identifier
1841977568
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DANVILLE PHYSICIAN PRACTICES LLC
Doing business as
Sovah Internal Medicine - Danville
Practice address
125 Executive Dr Ste H
Danville, VA 24541-4155
Phone
(434) 791-1345
Fax
(434) 799-6811
NPI assigned
Jul 4, 2023
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

125 Executive Dr Ste H
Danville, VA 24541-4155

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Sovah Internal Medicine - Danville Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051007000454 VA Part B Supplier - Clinic/Group Practice 4688606304 Receives reassigned benefits from 181 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winchester, VA; Danville, VA; South Boston, VA; Gretna, VA; Galax, VA; Amissville, VA
O20230922000960 VA Part A Provider - Rural Health Clinic 4688606304 Practice locations: Danville, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841977568. Details of each certification follow.

Rural health clinic certification: CCN 498946

Legal name
DANVILLE PHYSICIAN PRACTICES LLC
Doing business as
SOVAH INTERNAL MEDICINE - DANVILLE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 21, 2023
Last certification
Dec 21, 2023
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Jun 15, 2005 in DE
Enrollment address
125 Executive Dr
Ste H
Danville, VA 24541-4155

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2066154Sovah Internal Medicine125 Executive Drive - Suite H, Danville, VA 24541Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Danville Physician Practices LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Pamela Kane Individual Corporate OfficerVice President Jul 1, 2023
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 100%
Laura C Hinson Individual Corporate OfficerChief Financial Officer Mar 12, 2025
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 100%
Charlotte E Lawrence Individual Corporate OfficerSecretary Jul 1, 2023
Klaus Michael Boel Individual Corporate OfficerPresident Aug 19, 2024
W-2 Managing Employee Aug 19, 2024
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer Jul 1, 2023
Christopher J Monte Individual Corporate OfficerVice President Jul 1, 2023
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 100%

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 193

Practitioners & affiliated clinicians

Practitioners 1

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": "1688428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1841977568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EXECUTIVE DR STE H",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414155",
            "telephone_number": "434-791-1345",
            "fax_number": "434-799-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-04",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sovah Internal Medicine - Danville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sovah Internal Medicine - Danville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.