RANDOLPH-MACON COLLEGE
NPI 1376231381
Family Medicine in Ashland, VA

Active since April 27, 2023CLIA 49D2196766 · Waiver
304 HENRY ST, ASHLAND, VA 23005(804) 752-3215 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Randolph-macon College NPPES

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

RANDOLPH-MACON COLLEGE (NPI 1376231381), doing business as Randolph-macon College Sports Medicine, is a healthcare organization registered as a family medicine in Ashland, Virginia and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Heather Lynn Bauby, Office Director, as its authorized official.

NPPES Registry Identity

NPI1376231381
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRANDOLPH-MACON COLLEGE
Location Address304 HENRY STAshland, VA 23005-1647
Mailing Address304 Henry StAshland, VA 23005-1647 · (804) 752-3215
Organization SubpartNo
Authorized OfficialHeather Lynn BaubyOffice Director · (804) 752-3215
Enumeration DateApril 27, 2023
NPPES CertifiedApril 27, 2023
NPI 1376231381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
304 HENRY ST, Ashland, VA 23005

Other Names 1

Doing Business AsRandolph-macon College Sports Medicine

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2196766

Randolph-Macon College · Ashland, VA
Active · expires Oct 19, 2026
CLIA Number49D2196766
Laboratory TypeSchool/Student Health Service
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorMichael Pitzer
Laboratory Phone(804) 752-3215
Laboratory LocationRandolph-Macon College103 E Patrick St Sports Medicine Department, Ashland, VA 23005
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Randolph-Macon College's NPI number?

The NPI number for Randolph-Macon College is 1376231381. It was assigned to this organization in the NPPES registry on April 27, 2023. The provider is doing business as Randolph-Macon College Sports Medicine.

Where is Randolph-Macon College located?

Randolph-Macon College is located at 304 Henry St, Ashland, VA 23005. The listed phone number is (804) 752-3215.

What is Randolph-Macon College's specialty?

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

Does Randolph-Macon College hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2196766) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Randolph-Macon College was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.