NPIMap

Individual provider Active NPI

Terrance J Truitt, MD, FCCP

  • Pulmonary Disease Physician
  • South Boston, VA
National Provider Identifier
1922077254
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101052367 Issued in VA
Practice address
2210 Wilborn Ave
South Boston, VA 24592-1630
Phone
(434) 575-5864
Fax
(434) 575-8929
NPI assigned
Mar 17, 2006
Last updated
Jan 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101052367 VA
Pulmonary Disease Physician 207RP1001X 0101052367 VA Primary

Addresses

Primary practice location

2210 Wilborn Ave
South Boston, VA 24592-1630

Mailing address

2210 Wilborn Ave
South Boston, VA 24592-1630
Phone (434) 575-5864

Other identifiers 4

IdentifierTypeStateIssuer
7905379MedicaidNC
075593OtherVAANTHEM BC PROVIDER #
2317122OtherNCMEDICARE GROUP #
05379OtherNCBC/BS NC PROVIDER #

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
I20100827000060 VA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8628989944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Associates of Southside Virginia, IncGroup PAC ID 8628008331, 17 clinicians

Practice addresses (Care Compare)

2210 Wilborn Ave
South Boston, VA 24592-1630
Phone (434) 575-5864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.4 of 100Reported as individual
Quality
91.58
Promoting interoperability
95
Improvement activities
40
Cost
85.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101052367VAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Southside Virginia, Inc CurrentSince Nov 1, 1992 Accepting new patients

Locations

3762 Durham Rd
Roxboro, NC 27573
Phone (336) 330-0400

2210 Wilborn Ave
South Boston, VA 24592
Phone (434) 575-5864

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18733/brand/1/csg/1/fhir/r4
  • Direct secure messaging: terrance.truitt.1@18733.direct.athenahealth.com

Organizations & group practices 1

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

Hospital & facility affiliations 11

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1922077254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921630",
            "telephone_number": "434-575-5864",
            "fax_number": "434-575-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921630",
            "telephone_number": "434-575-5864",
            "fax_number": "434-575-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUITT",
        "first_name": "TERRANCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD, FCCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101052367",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101052367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7905379",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC PROVIDER #",
            "identifier": "075593",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "2317122",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC PROVIDER #",
            "identifier": "05379",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.