SOUTHAMPTON COUNTY HEALTH DEPARTMENT
NPI 1053386979
Clinic/Center - Public Health, State or Local in Courtland, VA
About Southampton County Health Department NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHAMPTON COUNTY HEALTH DEPARTMENT (NPI 1053386979) is a healthcare organization registered as a public health, state or local in Courtland, Virginia and active in the NPI registry since February 2006. The organization lists Angela Yvette Tillery, Business Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southampton County Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Southampton County Health Department, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Commonwealth Of Virginia State Board Of Health's NPI number?
The NPI number for Commonwealth Of Virginia State Board Of Health is 1053386979. It was assigned to this organization in the NPPES registry on February 22, 2006. The provider is doing business as Southampton County Health Department.
Where is Commonwealth Of Virginia State Board Of Health located?
Commonwealth Of Virginia State Board Of Health is located at 26022 Administrative Center Drive, Courtland, VA 23837. The listed phone number is (757) 653-3040.
What is Commonwealth Of Virginia State Board Of Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.
Is Commonwealth Of Virginia State Board Of Health enrolled in Medicare?
Yes. Commonwealth Of Virginia State Board Of Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Commonwealth Of Virginia State Board Of Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Commonwealth Of Virginia State Board Of Health, in Infectious Disease, Nurse Practitioner, Obstetrics/Gynecology and Preventive Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Commonwealth Of Virginia State Board Of Health was last updated on June 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Southampton County Health Department · NPI 1053386979
Public Health, State or Local organization in Courtland, Virginia. Organization record, active in the CMS NPPES registry since February 22, 2006.
## Identity
- **NPI:** 1053386979 (Entity type: Organization)
- **Enumerated:** February 22, 2006
- **Primary specialty:** Clinic/Center - Public Health, State or Local · taxonomy 261QP0905X
- **Legal business name:** Commonwealth Of Virginia State Board Of Health
- **Organization subpart:** No
- **Authorized official:** Angela Tillery, BUSINESS MANAGER
## Practice location
- **Address:** 26022 ADMINISTRATIVE CENTER DRIVE, Courtland, VA 23837-0009
- **Phone:** (757) 653-3040 · **Fax:** (757) 653-0834
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (2), Preventive Medicine (2), Infectious Disease (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2011
- **Other identifiers:** Medicaid 497229 (VA); Medicaid 008770280 (VA); Medicaid 008700681 (VA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1053386979) · Data from the CMS NPPES public registry.