1. Home
  2. Directory
  3. Virginia
  4. South Boston
  5. Internal Medicine
  6. NPI Profile

DOMINION HEALTH MEDICAL ASSOC
NPI 1356138879
Internal Medicine - Cardiovascular Disease in South Boston, VA

Active since April 21, 2025
2204 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-3250(434) 514-3934 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dominion Health Medical Assoc NPPES

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

DOMINION HEALTH MEDICAL ASSOC (NPI 1356138879), doing business as Sentara Cardiology Specialists, is a healthcare organization registered as a cardiovascular disease in South Boston, Virginia and active in the NPI registry since April 2025. The organization lists Cecil Hazelwood, Director, as its authorized official.

NPPES Registry Identity

NPI1356138879
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameDOMINION HEALTH MEDICAL ASSOC
Location Address2204 WILBORN AVESouth Boston, VA 24592-1645
Mailing Address2204 Wilborn AveSouth Boston, VA 24592-1645 · (434) 517-3250 · Fax (434) 514-3934
Phone(434) 517-3250
Fax(434) 514-3934
Organization SubpartNo
Authorized OfficialCecil HazelwoodDirector · (434) 517-3515
Enumeration DateApril 21, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1356138879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
2204 WILBORN AVE, South Boston, VA 24592
Open in Google Maps ↗

Other Names 1

Doing Business AsSentara Cardiology Specialists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

HALIFAX REGIONAL HOSPITAL, INC.
Hospice Care, Community Based
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3100
MULBRIAR EMERGENCY PHYSICIANS LLC
Emergency Medicine
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (469) 401-2386
SOUZA & ASSOCIATES, INC., P.C.
Specialist
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3139
JON M HUGHES NP
Nurse Practitioner (Family)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3100
HALIFAX REGIONAL HOSPITAL, INC.
Durable Medical Equipment & Medical Supplies
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3100
DOMINION HEALTH MEDICAL ASSOC
Clinic/Center (Emergency Care)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3529
ROBERT METZ RN
Registered Nurse (Critical Care Medicine)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3134
ELMER C SAN PEDRO MD
Radiology (Diagnostic Radiology)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3187

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 1356138879. It was assigned to this organization in the NPPES registry on April 21, 2025. The provider is doing business as Sentara Cardiology Specialists.

Where is Dominion Health Medical Assoc located?

Dominion Health Medical Assoc is located at 2204 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-3250.

What is Dominion Health Medical Assoc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Dominion Health Medical Assoc was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.