Active NPI
Halifax Regional Hospital, Inc
- Rural Health Clinic/Center
- Nathalie, VA
National Provider Identifier
1851900534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- HALIFAX REGIONAL HOSPITAL, INC
- Practice address
- 15210 L P Bailey Memorial Hwy
Nathalie, VA 24577-3304 - Phone
- (434) 517-8019
- NPI assigned
- Jul 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melinda Summerlin Hancock
- Title
- Cfo
- Phone
- (757) 455-7458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
15210 L P Bailey Memorial Hwy
Nathalie, VA 24577-3304
Mailing address
2204 Wilborn Ave
South Boston, VA 24592-1645
Phone (757) 455-7395
Other names 1
- Sentara Volens Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201112002255 | VA | Part A Provider - Other | 4587572805 | Practice locations: Nathalie, VA |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Rural Health Clinic/Center
- South Boston, VA
- NPI 1023627486
4587572805
-
- Rural Health Clinic/Center
- South Boston, VA
- NPI 1033728803
4587572805
-
- Rural Health Clinic/Center
- South Boston, VA
- NPI 1841809241
4587572805
-
- General Acute Care Hospital
- South Boston, VA
- NPI 1588668842
4587572805
National Provider Directory
National Provider Directory- Tax ID family
- Halifax-So Boston Comm
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- South Boston, VA
- NPI 1861565731
-
- General Acute Care Hospital
- South Boston, VA
- NPI 1992724033
-
- Rural Health Clinic/Center
- South Boston, VA
- NPI 1023627486
-
- Rural Health Clinic/Center
- South Boston, VA
- NPI 1033728803
-
- Rural Health Clinic/Center
- Clarksville, VA
- NPI 1154930824
-
- Rural Health Clinic/Center
- South Boston, VA
- NPI 1841809241
-
- Rural Health Clinic/Center
- Chase City, VA
- NPI 1861001539
Practitioners & affiliated clinicians
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- South Boston, VA
- NPI 1215294814
-
- Family Nurse Practitioner
- Chase City, VA
- NPI 1326583345
-
- Adult Health Nurse Practitioner
- South Boston, VA
- NPI 1972861169
-
- Cardiovascular Disease Physician
- South Boston, VA
- NPI 1710944707
-
- Family Medicine Physician
- Clarksville, VA
- NPI 1861811721
-
- Family Medicine Physician
- Nathalie, VA
- NPI 1598760555
-
- Family Nurse Practitioner
- Nathalie, VA
- NPI 1265984033
-
- Addiction (Substance Use Disorder) Counselor
- South Boston, VA
- NPI 1376507848
-
- Family Nurse Practitioner
- South Boston, VA
- NPI 1245636208
-
- Family Nurse Practitioner
- Nathalie, VA
- NPI 1780104489
-
- Professional Counselor
- South Boston, VA
- NPI 1801379698
-
- Family Nurse Practitioner
- South Boston, VA
- NPI 1013469204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1851900534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 WILBORN AVE",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245921645",
"telephone_number": "757-455-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15210 L P BAILEY MEMORIAL HWY",
"city": "NATHALIE",
"state": "VA",
"postal_code": "245773304",
"telephone_number": "434-517-8019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALIFAX REGIONAL HOSPITAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "HANCOCK",
"authorized_official_first_name": "MELINDA",
"authorized_official_middle_name": "SUMMERLIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "757-455-7458"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sentara Volens Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nathalie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.