NPIMap

Individual provider Active NPI

David Wynne Reese III, PA-C

  • Medical Physician Assistant
  • Lynchburg, VA
National Provider Identifier
1902192248
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110-003607 Issued in VA
Practice address
320 Federal St
Lynchburg, VA 24504-2306
Phone
(434) 947-5967
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110-003607 VA Primary

Addresses

Primary practice location

320 Federal St
Lynchburg, VA 24504-2306

Mailing address

134 Elon Rd
Madison Heights, VA 24572-2536
Phone (434) 455-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000201 VA Practitioner - Physician Assistant 6901067610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

131 Jones St
Appomattox, VA 24522-9830
Phone (434) 352-8235

2215 Landover PL
Lynchburg, VA 24501-2115
Phone (434) 947-3944

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

  • Centra Home Health Home health agency, Lynchburg, VA, CCN 497278
  • Westminster at Home (Home Health) Home health agency, Lynchburg, VA, CCN 497665
  • Enhabit Home Health (Lynchburg) Home health agency, Forest, VA, CCN 497533
  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110-003607VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 29, 2024 Accepting new patients
Johnson Health Center CurrentSince Feb 13, 2012 Accepting new patients
Johnson Health Center CurrentSince Feb 13, 2012 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 29, 2024 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

131 Jones St
Appomattox, VA 24522
Phone (434) 332-7367

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

1175 Corporate Park Dr
Forest, VA 24551
Phone (434) 525-6964

527 Pocket Rd
Hurt, VA 24563
Phone (434) 324-9150

2019 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 845-7035

2321 Wards Rd
Lynchburg, VA 24502
Phone (434) 582-2273

320 Federal St
Lynchburg, VA 24504
Phone (434) 947-5967

205 Archway Ct
Lynchburg, VA 24502

2137 Lakeside Dr
Ste 100
Lynchburg, VA 24501
Phone (434) 385-4184

2215 Landover Pl
Lynchburg, VA 24501
Phone (434) 947-3900

200 Amelon Sq
Madison Heights, VA 24572
Phone (434) 929-1095

109 Clearview Rd
Madison Heights, VA 24572
Phone (434) 929-1400

118 Oakwood Dr
Madison Heights, VA 24572
Phone (434) 845-5641

134 Elon Rd
Madison Hts, VA 24572
Phone (434) 929-1400

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: david.reese.2@8042.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1902192248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ELON RD",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245722536",
            "telephone_number": "434-455-2480",
            "fax_number": "434-455-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 FEDERAL ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245042306",
            "telephone_number": "434-947-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "DAVID",
        "middle_name": "WYNNE",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-003607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.