FARMVILLE INTERNAL MEDICINE, PC
NPI 1063717304
Internal Medicine in Farmville, VA

Active since January 18, 2011CLIA 49D0994978 · Waiver
1400 MILNWOOD RD, FARMVILLE, VA 23901(434) 392-9000(434) 392-9215 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Farmville Internal Medicine, Pc NPPES

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

FARMVILLE INTERNAL MEDICINE, PC (NPI 1063717304) is a healthcare organization registered as an internal medicine in Farmville, Virginia and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Vara P Bonagiri, President, as its authorized official.

NPPES Registry Identity

NPI1063717304
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFARMVILLE INTERNAL MEDICINE, PC
Location Address1400 MILNWOOD RDFarmville, VA 23901-2633
Mailing AddressPo Box RFarmville, VA 23901-0289 · (434) 392-9000 · Fax (434) 392-9215
Fax(434) 392-9215
Organization SubpartNo
Authorized OfficialVara P BonagiriPresident · (434) 392-9000
Enumeration DateJanuary 18, 2011
Last NPPES UpdateMarch 2, 2012
NPI 1063717304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101054184
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.
1400 MILNWOOD RD, Farmville, VA 23901

Other Identifiers 3

Medicaid5865514VA
Medicare UPING30824VA
Medicare PIN110008239VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 49D0994978

Farmville Internal Medicine, PC · Farmville, VA
Active · expires Jan 7, 2028
CLIA Number49D0994978
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorVara P. Bonagiri
Laboratory Phone(804) 392-9000
Laboratory LocationFarmville Internal Medicine, PC1400 Milnwood Road, Farmville, VA 23901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
1400 MILNWOOD RD
FARMVILLE, VA 23901

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 Farmville Internal Medicine, PC's NPI number?

The NPI number for Farmville Internal Medicine, PC is 1063717304. It was assigned to this organization in the NPPES registry on January 18, 2011.

Where is Farmville Internal Medicine, PC located?

Farmville Internal Medicine, PC is located at 1400 Milnwood Rd, Farmville, VA 23901. The listed phone number is (434) 392-9000.

What is Farmville Internal Medicine, PC's specialty?

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

Does Farmville Internal Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0994978) is associated with this NPI, valid through January 7, 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 Farmville Internal Medicine, PC was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.