SENTORA HALIFAX GENERAL SURGERY
NPI 1255771770
Clinic/Center - Ambulatory Surgical in South Boston, VA

Active since June 28, 2013
2212 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-3529(434) 517-3887 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sentora Halifax General Surgery NPPES

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

SENTORA HALIFAX GENERAL SURGERY (NPI 1255771770) is a healthcare organization registered as an ambulatory surgical in South Boston, Virginia and active in the NPI registry since June 2013. The organization lists Cecil Hazelwood, Manager (sdhg), as its authorized official.

NPPES Registry Identity

NPI1255771770
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDOMINION HEALTH MEDICAL ASSOC.
Location Address2212 WILBORN AVESouth Boston, VA 24592
Mailing AddressP.o. Box 860South Boston, VA 24592 · (434) 517-3513 · Fax (434) 517-3887
Fax(434) 517-3887
Organization SubpartNo
Authorized OfficialCecil HazelwoodManager (sdhg) · (434) 517-3590
Enumeration DateJune 28, 2013
Last NPPES UpdateFebruary 10, 2015
✔ NPI 1255771770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2212 WILBORN AVE, South Boston, VA 24592

Other Names 1

Doing Business AsSentora Halifax General Surgery

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sentora Halifax General Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

82

Medicare enrollment records show 82 clinicians reassign Medicare billing to Sentora Halifax General Surgery, which bills Medicare for the services they deliver. Of these, 33 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

General Surgery24
Nurse Practitioner13
Orthopedic Surgery10
Interventional Cardiology6
Anesthesiology5
Certified Registered Nurse Anesthetist (CRNA)5
Diagnostic Radiology5
Hematology/Oncology3
9 other specialties11

Nearest to this location (20)

See all 82
Orthopedic Surgery
NPI 1063423929
422 HAMILTON BLVD
South Boston, VA 24592
(434) 572-4074
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1992812002
422 HAMILTON BLVD
South Boston, VA 24592
(434) 572-4074
✔ PECOSSame address
Orthopedic Surgery
NPI 1073544094
422 HAMILTON BLVD
South Boston, VA 24592
(434) 572-4074
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1952400756
422 HAMILTON BLVD
South Boston, VA 24592
(434) 572-4074
✔ PECOSSame address
General Surgery
NPI 1205141819
2204 WILBORN AVE
South Boston, VA 24592
(434) 517-3014
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1821205832
2204 WILBORN AVE
South Boston, VA 24592
(434) 517-3100
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871058008
2204 WILBORN AVE
South Boston, VA 24592
(434) 517-3100
✔ 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 1053351544
2232 WILBORN AVE STE G
South Boston, VA 24592
(434) 517-8140
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1003363896
2232 WILBORN AVE STE G
South Boston, VA 24592
(434) 517-8140
✔ 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
Interventional Cardiology
NPI 1598099376
2232 WILBORN AVE
South Boston, VA 24592
(434) 572-8977
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1407824527
2232 WILBORN AVE
South Boston, VA 24592
(434) 572-8921
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1619370087
2232 WILBORN AVE SUITE A
South Boston, VA 24592
(434) 517-3355
✔ PECOS0.1 mi
Orthopedic Surgery
NPI 1821051525
409 OAK LN
South Boston, VA 24592
(434) 572-8300
✔ PECOS0.1 mi
General Surgery
NPI 1336371525
22232 WILBORN AVE STE C
South Boston, VA 24592
(434) 517-3910
✔ PECOS✔ Accepts Medicare0.9 mi
Anesthesiology
NPI 1548215643
2204 WILBORN AVE
South Boston, VA 24592
(434) 517-3100
✔ PECOS1.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1942745526
2204 WILBORN AVE
South Boston, VA 24592
(434) 517-3122
✔ PECOS✔ Accepts Medicare1.2 mi
See all 82 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 Dominion Health Medical Assoc.'s NPI number?

The NPI number for Dominion Health Medical Assoc. is 1255771770. It was assigned to this organization in the NPPES registry on June 28, 2013. The provider is doing business as Sentora Halifax General Surgery.

Where is Dominion Health Medical Assoc. located?

Dominion Health Medical Assoc. is located at 2212 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-3529.

What is Dominion Health Medical Assoc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Dominion Health Medical Assoc. enrolled in Medicare?

Yes. Dominion Health Medical Assoc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dominion Health Medical Assoc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 82 clinicians in 17 Medicare specialties reassign their Medicare billing to Dominion Health Medical Assoc.. 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 General Surgery (24), Nurse Practitioner (13) and Orthopedic Surgery (10). Of these, 33 practice 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 Dominion Health Medical Assoc. was last updated on February 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.