Cardiology Consultants of Danville

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOLOGY CONSULTANTS OF DANVILLE

Practice address

158 Executive Drive
Danville, VA 24541-4100

Phone

(434) 791-1088

Fax

(434) 799-8525

NPI assigned

Dec 27, 2006

Last updated

Jun 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Carter Mustain

Title

Insurance Manager

Phone

(434) 791-1088

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.484907

Practitioners 7

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.

• Amanda L Keith, FNP

  • Family Nurse Practitioner
  • Danville, VA
  • NPI 1689034514
  Medicare reassignment NPD
• Gary Price Miller, MD

  • Cardiovascular Disease Physician
  • Danville, VA
  • NPI 1447340112
  Medicare reassignment NPD
• Krystal Shante Woodson, FNP

  • Family Nurse Practitioner
  • Gretna, VA
  • NPI 1396337101
  Medicare reassignment NPD
• Erica Wilborne Adams, DNP, FNP-C

  • Family Nurse Practitioner
  • Yanceyville, NC
  • NPI 1346729985

  VA

  Medicare reassignment NPD
• Sheri Hammock

  • Acute Care Nurse Practitioner
  • Burlington, NC
  • NPI 1619417789

  VA

  Medicare reassignment NPD
• Jennifer Durham, DNP-AGPCNP

  • Gerontology Nurse Practitioner
  • Danville, VA
  • NPI 1629776984
  NPD
• Regina Mary Brooks-Hall, APRN

  • Nurse Practitioner
  • Edgewood, KY
  • NPI 1417049404
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1922163286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 EXECUTIVE DRIVE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414100",
            "telephone_number": "434-791-1088",
            "fax_number": "434-799-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 EXECUTIVE DRIVE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414100",
            "telephone_number": "434-791-1088",
            "fax_number": "434-799-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CONSULTANTS OF DANVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "MUSTAIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "434-791-1088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC4063",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890158E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Nichole Canody, OTR/L, MSOT
• Maria Elizabeth Anne Cantner, M.ED., BCBA, LBA
• Michael Alan Caplan, MD
• Joseph M Carbone, MD
• Cardiology Clinic
• Care at Your Site LLC
• Careteam, LLC (CareTeam Danville)
• Caring Partners
• Caring With Compassion Nursing
• Robert Steven Carlish, DMD

• Cardiovascular Disease Physician in Danville, VA
• Providers in Danville, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.