| Godocs South Boston, Llc | |
|
3130 Halifax Rd Ste C South Boston VA 24592-4948 | |
| (434) 857-2114 | |
| (434) 835-4875 |
| Full Name | Godocs South Boston, Llc |
|---|---|
| Speciality | General Practice |
| Location | 3130 Halifax Rd Ste C, South Boston, Virginia |
| Authorized Official Name and Position | Gail Megginson (OFFICE MANAGER) |
| Authorized Official Contact | 4348572114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Godocs South Boston, Llc 3130 Halifax Rd Ste C South Boston VA 24592-4948 Ph: (434) 857-2114 | Godocs South Boston, Llc 3130 Halifax Rd Ste C South Boston VA 24592-4948 Ph: (434) 857-2114 |
| NPI Number | 1770073256 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/10/2018 |
| Medicare PECOS PAC ID | 3870849839 |
|---|---|
| Medicare Enrollment ID | O20180705000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770073256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0102201590 (Virginia) | Primary |
| Provider Name | Amanda Lynn Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689034514 PECOS PAC ID: 1557668803 Enrollment ID: I20160411000657 |
| Provider Name | Casey L Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063961472 PECOS PAC ID: 1759661515 Enrollment ID: I20161213001796 |
| Provider Name | Kelly Arendall Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669988986 PECOS PAC ID: 2668732090 Enrollment ID: I20180205000482 |
| Provider Name | Amy Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538658703 PECOS PAC ID: 1951656032 Enrollment ID: I20180613001037 |
| Provider Name | Micah Pacifico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649819558 PECOS PAC ID: 2062847791 Enrollment ID: I20200127001176 |
| Provider Name | Patty J Chapell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265019764 PECOS PAC ID: 4284042466 Enrollment ID: I20210428001873 |
Halifax Family Health Center Physician Pavillion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2232 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-4378 Fax: 434-572-4730 | |
Halifax Regional Hospital, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879 | |
Piedmont Access To Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Houghton Ave, South Boston, VA 24592 Phone: 434-575-1341 | |
Sentara Gynecology Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2206 Wilborn Ave, Medical Office Building #1, South Boston, VA 24592 Phone: 434-517-8627 | |
Halifax Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 N Main St Ste Huc, South Boston, VA 24592 Phone: 336-583-5233 | |
Halifaxmed, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1627 Seymour Dr, South Boston, VA 24592 Phone: 434-572-9355 Fax: 434-572-4818 | |
Mills Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Seymour Dr, South Boston, VA 24592 Phone: 434-579-0069 |