Active NPI
Rockbridge Medical Group, Inc
- Family Medicine Physician
- Lexington, VA
National Provider Identifier
1992889356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ROCKBRIDGE MEDICAL GROUP, INC
- Practice address
- 204 E Washington St
Lexington, VA 24450-2718 - Phone
- (540) 463-5055
- Fax
- (540) 463-1079
- NPI assigned
- Oct 24, 2006
- 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
- Ashley Burnett-Davis
- Title
- Insurance
- Phone
- (540) 463-5055
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
204 E Washington St
Lexington, VA 24450-2718
Mailing address
204 E Washington St
Lexington, VA 24450-2718
Phone (540) 463-5055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992889356 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051025000092 | VA | Part B Supplier - Clinic/Group Practice | 3971520404 |
Receives reassigned benefits from 4 practitioners Practice locations: Lexington, VA |
National Provider Directory
National Provider DirectoryLocations
204 E Washington St
Lexington, VA 24450
Phone (540) 462-7384
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lexington, VA
- NPI 1508051509
Family Medicine, VA
-
- Clinical Social Worker
- Staunton, VA
- NPI 1336241454
-
- Clinical Social Worker
- Lexington, VA
- NPI 1578569521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543536000000",
"number": "1992889356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E WASHINGTON ST",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244502718",
"telephone_number": "540-463-5055",
"fax_number": "540-463-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E WASHINGTON ST",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244502718",
"telephone_number": "540-463-5055",
"fax_number": "540-463-1079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKBRIDGE MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2018-11-30",
"status": "A",
"authorized_official_last_name": "BURNETT-DAVIS",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "INSURANCE",
"authorized_official_telephone_number": "540-463-5055"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992889356",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, VA
- Rockbridge Area Transportation System
- Rockbridge County Dental Clinic
- Rockbridge County Public Schools
- Rockbridge Health, PLLC
- Rockbridge Laboratory, LLC
- Rockbridge Pediatrics, PLLC
- Rockbridge Pharmacy LLC
- Rockbridge Psychiatric Medicine LLC
- Rockbridge Regional Dental Clinic
- Rockbridge Surgical Clinic L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.