HALIFAX REGIONAL HOSPITAL, INC
NPI 1033728803
Clinic/Center - Rural Health in South Boston, VA

Active since July 28, 2020
2206 WILBORN AVE, MEDICAL OFFICE BUILDING #1, SOUTH BOSTON, VA 24592(434) 517-8627 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2025, Oct 4, 2023, Oct 23, 2020 and 1 more (4 updates tracked since 2020).

About Halifax Regional Hospital, Inc NPPES

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

HALIFAX REGIONAL HOSPITAL, INC (NPI 1033728803), doing business as Sentara Gynecology Specialists, is a healthcare organization registered as a rural health in South Boston, Virginia and active in the NPI registry since July 2020. The organization maintains a secondary practice location in South Boston and lists Melinda Summerlin Hancock, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033728803
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHALIFAX REGIONAL HOSPITAL, INC
Location Address2206 WILBORN AVE, MEDICAL OFFICE BUILDING #1South Boston, VA 24592
Mailing Address2204 Wilborn AveSouth Boston, VA 24592-1645 · (757) 455-7395
Organization SubpartNo
Authorized OfficialMelinda Summerlin HancockCfo · (757) 455-7458
Enumeration DateJuly 28, 2020
Last NPPES UpdateDecember 11, 20254 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1033728803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2206 WILBORN AVE, South Boston, VA 24592

Other Names 1

Doing Business AsSentara Gynecology Specialists

Secondary Practice Location 1

Location 1101 Aubreys LoopSouth Boston, VA 24592-5056 · Phone (434) 517-8627 · Fax (757) 756-5126

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Halifax Regional Hospital, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Halifax Regional Hospital, Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner16
Family Practice4
Mental Health Counselor4
Cardiovascular Disease (Cardiology)3
Diagnostic Radiology3
Obstetrics/Gynecology3
Pediatric Medicine3
Hematology/Oncology2
5 other specialties6

Nearest to this location (20)

See all 44
Obstetrics/Gynecology
NPI 1215294814
2206 WILBORN AVE
South Boston, VA 24592
(434) 517-8627
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972861169
2206 WILBORN AVE
South Boston, VA 24592
(434) 517-8627
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1750524690
2206 WILBORN AVE BLDG 1
South Boston, VA 24592
(434) 517-8627
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1427018829
2210 WILBORN AVE
South Boston, VA 24592
(434) 575-5864
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1821205832
2204 WILBORN AVE
South Boston, VA 24592
(434) 517-3100
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1609980895
2204 WILBORN AVE
South Boston, VA 24592
(434) 517-3100
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1124077136
2232 WILBORN AVE, SUITE D HEMATOLOGY ONCOLOGY PRACTICE OF SOUTHSIDE VA, PC
South Boston, VA 24592
(434) 575-1212
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1306831961
2232 WILBORN AVE STE D
South Boston, VA 24592
(434) 517-8140
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1902840663
2232 WILBORN AVE, SUITE D HEMATOLOGY ONCOLOGY PRACTICE OF SOUTHSIDE VA, PC
South Boston, VA 24592
(434) 575-1212
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1518353341
2232 WILBORN AVE STE D
South Boston, VA 24592
(434) 575-1212
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1710944707
2232 WILBORN AVE SUITE A
South Boston, VA 24592
(434) 572-8977
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1316267750
2232 WILBORN AVE SUITE A
South Boston, VA 24592
(434) 572-8977
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1124097282
2212 WILBORN AVE
South Boston, VA 24592
(434) 572-8921
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1801379698
424 HAMILTON BLVD
South Boston, VA 24592
(434) 572-2936
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1649732884
2100 WILBORN AVE
South Boston, VA 24592
(434) 517-8022
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1841488905
2100 WILBORN AVE
South Boston, VA 24592
(434) 517-8022
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1316074768
2100 WILBORN AVE
South Boston, VA 24592
(434) 517-8022
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1386612877
2100 WILBORN AVE
South Boston, VA 24592
(434) 517-8022
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1376507848
504 WILBORN AVE
South Boston, VA 24592
(434) 572-6935
✔ PECOS✔ Accepts Medicare1.2 mi
Marriage and Family Therapist
NPI 1245030212
504 WILBORN AVE
South Boston, VA 24592
(434) 517-3651
✔ PECOS1.2 mi
See all 44 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Halifax Regional Hospital, Inc's NPI number?

The NPI number for Halifax Regional Hospital, Inc is 1033728803. It was assigned to this organization in the NPPES registry on July 28, 2020. The provider is doing business as Sentara Gynecology Specialists.

Where is Halifax Regional Hospital, Inc located?

Halifax Regional Hospital, Inc is located at 2206 Wilborn Ave Medical Office Building #1, South Boston, VA 24592. The listed phone number is (434) 517-8627.

What is Halifax Regional Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Halifax Regional Hospital, Inc enrolled in Medicare?

Yes. Halifax Regional Hospital, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Halifax Regional Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 13 Medicare specialties reassign their Medicare billing to Halifax Regional Hospital, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Family Practice (4) and Mental Health Counselor (4). Of these, 4 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Halifax Regional Hospital, Inc was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.