DR. RAENA M. PETTITT D.O.
NPI 1124025085
Family Medicine in Lynchburg, VA

Q: What is Raena Pettitt's NPI number?

The NPI number for Raena Pettitt is 1124025085. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Q: What is Raena Pettitt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Raena Pettitt was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 06, 2005

2321 WARDS RD, LYNCHBURG, VA 24502(434) 582-2273(434) 582-1363 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Raena M. Pettitt D.o. NPPES

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

DR. RAENA M. PETTITT D.O. (NPI 1124025085) is an individual family medicine provider in Lynchburg, Virginia, licensed in Virginia (0102201453) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1124025085

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RAENA M. PETTITTCredential: D.O.

Location Address2321 WARDS RDLynchburg, VA 24502-2101

Mailing Address2321 Wards RdLynchburg, VA 24502-2101 · (434) 582-2273 · Fax (434) 582-1363

Phone(434) 582-2273

Fax(434) 582-1363

Sole ProprietorNo

Enumeration DateJuly 6, 2005

Last NPPES UpdateSeptember 21, 2016

✔ NPI 1124025085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0102201453

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2321 WARDS RD, Lynchburg, VA 24502

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Other Identifiers 13

Other2379390Cigna Provider Number

Other186414Anthem Provider Number

Other203639329United Healthcare Provide

Other010215048Va Premier Provider Numbe

Other203639329Pchp Provider Number

Other329088Southern Health Provider

Other203639329013Tricare Provider Number

Other78660Sentara/optima Provider N

Medicare PIN00W820C12

Medicare UPINI16523VA

Medicaid010215048VA

Medicare PINP00282956

OtherD5084Medcost Provider Number

Other Providers at the Same Location NPPES 20

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

DR. DAVID FREDERICK KLINK D.O.

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