Individual provider Active NPI

William Eggleston III, M.D.

  • Family Medicine Physician
  • Midlothian, VA
National Provider Identifier
1932589686
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116028237 Issued in VA
Practice address
13540 Hull Street Rd
St. Francis Family Medicine
Midlothian, VA 23112-2107
Phone
(804) 739-6142
Fax
(804) 739-8923
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116028237 VA Primary

Addresses

Primary practice location

13540 Hull Street Rd
St. Francis Family Medicine
Midlothian, VA 23112-2107

Mailing address

13540 Hull Street Rd
St. Francis Family Medicine
Midlothian, VA 23112-2107
Phone (804) 739-6142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191016000941 VA Practitioner - Family Practice 7810228277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Richmond Primary Care LLCGroup PAC ID 3476986613, 91 clinicians

Practice addresses (Care Compare)

1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378

213 N Main St
Blackstone, VA 23824-1425
Phone (434) 292-7261

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Southside Community Hospital, Inc Hospital, Farmville, VA, CCN 490090
  • Community Memorial Hospital Hospital, South Hill, VA, CCN 490098

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116028237VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Primary Care LLC Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Commonwealth Counseling Associates Inc Past Accepting new patients

Locations

213 N Main St
Blackstone, VA 23824
Phone (434) 292-7261

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

13540 Hull Street Rd
Midlothian, VA 23112
Phone (804) 595-1400

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

Organizations & group practices 2

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1932589686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13540 HULL STREET RD",
            "address_2": "ST. FRANCIS FAMILY MEDICINE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122107",
            "telephone_number": "804-739-6142",
            "fax_number": "804-739-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 HULL STREET RD",
            "address_2": "ST. FRANCIS FAMILY MEDICINE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122107",
            "telephone_number": "804-739-6142",
            "fax_number": "804-739-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116028237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.