SOUTHERN DOMINION HEALTH SYSTEM, INC.
NPI 1295706588
Clinic/Center - Federally Qualified Health Center (FQHC) in Victoria, VA
About Southern Dominion Health System, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN DOMINION HEALTH SYSTEM, INC. (NPI 1295706588) is a healthcare organization registered as a federally qualified health center (fqhc) in Victoria, Virginia and active in the NPI registry since January 2006. The organization lists April King, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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)
Southern Dominion Health System, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Southern Dominion Health System, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 23Source: 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 Southern Dominion Health System, Inc.'s NPI number?
The NPI number for Southern Dominion Health System, Inc. is 1295706588. It was assigned to this organization in the NPPES registry on January 27, 2006.
Where is Southern Dominion Health System, Inc. located?
Southern Dominion Health System, Inc. is located at 1508 K V Rd, Victoria, VA 23974. The listed phone number is (434) 696-2165.
What is Southern Dominion Health System, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Southern Dominion Health System, Inc. enrolled in Medicare?
Yes. Southern Dominion Health System, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Dominion Health System, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 6 Medicare specialties reassign their Medicare billing to Southern Dominion Health System, 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 Nurse Practitioner (13), Family Practice (5) and Pediatric Medicine (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Dominion Health System, Inc. accept?
Health plans from DentaQuest list Southern Dominion Health System, 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 Southern Dominion Health System, Inc. was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Southern Dominion Health System, Inc. · NPI 1295706588
Federally Qualified Health Center (FQHC) organization in Victoria, Virginia. Organization record, active in the CMS NPPES registry since January 27, 2006.
## Identity
- **NPI:** 1295706588 (Entity type: Organization)
- **Enumerated:** January 27, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** Yes (part of Southern Dominion Health System, Inc.)
- **Authorized official:** April King, CEO
## Practice location
- **Address:** 1508 K V RD, Victoria, VA 23974-2624
- **Phone:** (434) 696-2165 · **Fax:** (434) 696-1378
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (5), Pediatric Medicine (2); 3 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1295706588/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295706588) · Data from the CMS NPPES public registry.