CALEB DONALDSON SOUTHALL MD
NPI 1285212480
Family Medicine in Sutherland, VA

Q: What is Caleb Southall's NPI number?

The NPI number for Caleb Southall is 1285212480. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Caleb Southall'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 Caleb Southall was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 March 30, 2021PECOS EnrolledAccepts Medicare Assignment

5609 CLAIBORNE RD, SUTHERLAND, VA 23885(804) 265-5211 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Caleb Donaldson Southall Md NPPES

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

CALEB DONALDSON SOUTHALL MD (NPI 1285212480) is an individual family medicine provider in Sutherland, Virginia, licensed in Virginia (0101283159) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and is a graduate of University Of Virginia School Of Medicine (2021).

NPPES Registry Identity

NPI1285212480

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCALEB DONALDSON SOUTHALLCredential: MD

Location Address5609 CLAIBORNE RDSutherland, VA 23885-9303

Mailing Address13540 Hull Street RdMidlothian, VA 23112-2107

Phone(804) 265-5211

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2021

Enumeration DateMarch 30, 2021

Last NPPES UpdateOctober 18, 2024

NPPES CertifiedOctober 18, 2024

✔ NPI 1285212480 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 · 0101283159

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.

5609 CLAIBORNE RD, Sutherland, VA 23885

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caleb Donaldson Southall Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698206605

PECOS Enrollment IDI20241001004470

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

49 services49 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

40 services40 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490020

Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County

Emergency services

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490067

Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23885 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. WILLIAM JAMES PHIPPS JR. MD

Family Medicine

5609 CLAIBORNE RD
SUTHERLAND, VA 23885

Dinwiddie County (804) 265-5211

SUTHERLAND FAMILY PRACTICE INC.

Family Medicine

5609 CLAIBORNE RD
SUTHERLAND, VA 23885

Dinwiddie County (804) 265-5211

DR. KIRBY D SOUTHALL M.D.

Family Medicine

5609 CLAIBORNE RD
SUTHERLAND, VA 23885

Dinwiddie County (804) 265-5211

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 Caleb Southall's NPI number?

The NPI number for Caleb Southall is 1285212480. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Caleb Southall located?

Caleb Southall practices at 5609 Claiborne Rd, Sutherland, VA 23885. The listed phone number is (804) 265-5211.

What is Caleb Southall's specialty?

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

Is Caleb Southall enrolled in Medicare?

Yes. Caleb Southall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Caleb Southall affiliated with any hospitals?

According to CMS data, Caleb Southall is affiliated with John Randolph Medical Center and Bon Secours Southside Medical Center.

When was this NPI record last updated?

The NPPES record for Caleb Southall was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.