PULMONARY ASSOCIATES OF SOUTHSIDE VIRGINIA, INC
NPI 1265436117
Specialist in South Boston, VA

Active since June 09, 2005
2210 WILBORN AVENUE, SOUTH BOSTON, VA 24592(434) 575-5864(434) 575-8929 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pulmonary Associates Of Southside Virginia, Inc NPPES

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

PULMONARY ASSOCIATES OF SOUTHSIDE VIRGINIA, INC (NPI 1265436117) is a healthcare organization registered as a specialist in South Boston, Virginia and active in the NPI registry since June 2005. The organization lists Annette W Hardy, Secretary, as its authorized official.

NPPES Registry Identity

NPI1265436117
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePULMONARY ASSOCIATES OF SOUTHSIDE VIRGINIA, INC
Location Address2210 WILBORN AVENUESouth Boston, VA 24592
Mailing Address2210 Wilborn AvenueSouth Boston, VA 24592 · (434) 575-5864 · Fax (434) 575-8929
Fax(434) 575-8929
Organization SubpartNo
Authorized OfficialAnnette W HardySecretary · (434) 575-5864
Enumeration DateJune 9, 2005
Last NPPES UpdateNovember 15, 2010
✔ NPI 1265436117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2210 WILBORN AVENUE, South Boston, VA 24592

Other Identifiers 3

Medicare PIN2317122NC
Medicare PINC04076VA
Medicaid890266TNC

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pulmonary Associates Of Southside Virginia, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Pulmonary Associates Of Southside Virginia, Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Pulmonary Disease4
Nurse Practitioner3
Cardiovascular Disease (Cardiology)1
Endocrinology1
Hospitalist1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1689262511
2210 WILBORN AVE
South Boston, VA 24592
(434) 575-5864
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1275502510
2210 WILBORN AVE
South Boston, VA 24592
(434) 575-5864
✔ PECOSSame address
Pulmonary Disease
NPI 1457379422
2210 WILBORN AVE
South Boston, VA 24592
(434) 575-5864
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1922077254
2210 WILBORN AVE
South Boston, VA 24592
(434) 575-5864
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1427018829
2210 WILBORN AVE
South Boston, VA 24592
(434) 575-5864
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1700881885
2232 WILBORN AVE STE B
South Boston, VA 24592
(434) 575-5844
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1619370087
2232 WILBORN AVE SUITE A
South Boston, VA 24592
(434) 517-3355
✔ PECOS0.1 mi
Hospitalist
NPI 1548468754
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-9252
✔ PECOS✔ Accepts Medicare87 mi
Nurse Practitioner
NPI 1053897033
500 MARTHA JEFFERSON DRIVE INPATIENT SERVICES
Charlottesville, VA 22911
(434) 654-7580
✔ PECOS✔ Accepts Medicare94 mi
Cardiovascular Disease (Cardiology)
NPI 1679608053
844 KEMPSVILLE RD STE 204
Norfolk, VA 23502
(757) 261-0700
✔ PECOS✔ Accepts Medicare151 mi

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 Pulmonary Associates Of Southside Virginia, Inc's NPI number?

The NPI number for Pulmonary Associates Of Southside Virginia, Inc is 1265436117. It was assigned to this organization in the NPPES registry on June 9, 2005.

Where is Pulmonary Associates Of Southside Virginia, Inc located?

Pulmonary Associates Of Southside Virginia, Inc is located at 2210 Wilborn Avenue, South Boston, VA 24592. The listed phone number is (434) 575-5864.

What is Pulmonary Associates Of Southside Virginia, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pulmonary Associates Of Southside Virginia, Inc enrolled in Medicare?

Yes. Pulmonary Associates Of Southside Virginia, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pulmonary Associates Of Southside Virginia, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Pulmonary Associates Of Southside Virginia, 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 Pulmonary Disease (4), Nurse Practitioner (3) and Cardiovascular Disease (Cardiology) (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pulmonary Associates Of Southside Virginia, Inc accept?

Health plans from AmeriHealth Caritas Next list Pulmonary Associates Of Southside Virginia, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pulmonary Associates Of Southside Virginia, Inc was last updated on November 15, 2010. 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.