Dr Kirby D Southall, MD | |
5609 Claiborne Rd, Sutherland, VA 23885-9303 | |
(804) 265-5211 | |
(804) 265-2707 |
Full Name | Dr Kirby D Southall |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 5609 Claiborne Rd, Sutherland, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750358750 | NPI | - | NPPES |
828665 | Other | VA | OPT CHOICE |
100629 | Other | VA | ANTHEM |
5697727 | Medicaid | VA | |
080642 | Other | VA | QUALCHOICE |
45882 | Other | VA | SENTARA |
815042 | Other | VA | SOUTHERN HEALTH |
5697727 | Other | VA | VA. PREMIER |
577244 | Other | VA | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101039352 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Midlothian, VA | Home health agency |
Southside Regional Home Health | Petersburg, VA | Home health agency |
All About Care | Richmond, VA | Home health agency |
James River Home Health Agency | Richmond, VA | Home health agency |
At Home Care | Richmond, VA | Home health agency |
Southside Regional Medical Center | Petersburg, VA | Hospital |
Medical College Of Virginia Hospitals | Richmond, VA | Hospital |
Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutherland Family Practice Inc | 1153309703 | 2 |
Entity Name | Sutherland Family Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699869487 PECOS PAC ID: 1153309703 Enrollment ID: O20040709001022 |
Mailing Address | Practice Location Address |
---|---|
Dr Kirby D Southall, MD 5609 Claiborne Rd, Sutherland, VA 23885-9303 Ph: (804) 265-5211 | Dr Kirby D Southall, MD 5609 Claiborne Rd, Sutherland, VA 23885-9303 Ph: (804) 265-5211 |
Caleb Donaldson Southall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5609 Claiborne Rd, Sutherland, VA 23885 Phone: 804-265-5211 | |
Dr. William James Phipps Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5609 Claiborne Rd, Sutherland, VA 23885 Phone: 804-265-5211 Fax: 804-265-2707 |