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APPOMATTOX RIVER PRIMARY CARE, LLC
NPI 1023764982
Internal Medicine in Hopewell, VA

Active since March 01, 2022CLIA 49D2263145 · Waiver
815 W POYTHRESS ST, HOPEWELL, VA 23860(804) 458-8557(804) 541-7113 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Nov 13, 2025, Mar 1, 2022 (3 updates tracked since 2022).

About Appomattox River Primary Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APPOMATTOX RIVER PRIMARY CARE, LLC (NPI 1023764982) is a healthcare organization registered as an internal medicine in Hopewell, Virginia and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Suzanne Bergamo, Division Vp/ao, as its authorized official.

NPPES Registry Identity

NPI1023764982
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAPPOMATTOX RIVER PRIMARY CARE, LLC
Location Address815 W POYTHRESS STHopewell, VA 23860-2532
Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 373-7406
Phone(804) 458-8557
Fax(804) 541-7113
Organization SubpartNo
Authorized OfficialSuzanne BergamoDivision Vp/ao · (804) 267-5950
Enumeration DateMarch 1, 2022
Last NPPES UpdateNovember 20, 20253 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1023764982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
815 W POYTHRESS ST, Hopewell, VA 23860
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2263145

Appomattox River Primary Care LLC · Hopewell, VA
Active · expires Jun 22, 2028
CLIA Number49D2263145
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorJames A. Bush
Laboratory Phone(804) 458-8557
Laboratory LocationAppomattox River Primary Care LLC815 W Poythress St, Hopewell, VA 23860
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER N AULT MD
Internal Medicine
815 W POYTHRESS ST
HOPEWELL, VA 23860
Hopewell City (804) 458-8557
GEORGE W PROFFITT NP
Nurse Practitioner
815 W POYTHRESS ST
HOPEWELL, VA 23860
Hopewell City (804) 458-8557
BRENT A ARMSTRONG MD
Internal Medicine
815 W POYTHRESS ST
HOPEWELL, VA 23860
Hopewell City (804) 458-8557
ANDREA JEAN BUHL FNP
Nurse Practitioner (Primary Care)
815 W POYTHRESS ST
HOPEWELL, VA 23860
Hopewell City (804) 458-8557
APPOMATTOX RIVER MEDICAL LLC
Family Medicine
815 W POYTHRESS ST
HOPEWELL, VA 23860
Hopewell City (804) 458-8557
DR. PRAKASAM KALLURI MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
815 W POYTHRESS ST
HOPEWELL, VA 23860
Hopewell City (804) 471-7730
STACY R INGRAM-HANSON NP
Nurse Practitioner
815 W POYTHRESS ST
HOPEWELL, VA 23860
Hopewell City (804) 458-8557
ALBERT MAGNIN JR. MD
Internal Medicine
815 W POYTHRESS ST
HOPEWELL, VA 23860
Hopewell City (804) 458-8557

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Appomattox River Primary Care, LLC's NPI number?

The NPI number for Appomattox River Primary Care, LLC is 1023764982. It was assigned to this organization in the NPPES registry on March 1, 2022.

Where is Appomattox River Primary Care, LLC located?

Appomattox River Primary Care, LLC is located at 815 W Poythress St, Hopewell, VA 23860. The listed phone number is (804) 458-8557.

What is Appomattox River Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Appomattox River Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2263145) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Appomattox River Primary Care, LLC was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.