SENTARA VOLENS FAMILY MEDICINE
NPI 1386737682
Legal Medicine in South Boston, VA

NPI Status: Active since October 02, 2006

Contact Information

15210 L. P. BAILEY MEMORIAL HWY
SOUTH BOSTON, VA
ZIP 24592
Phone: (434) 349-3113
Fax: (434) 517-3887

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  • Organization
  • Legal Medicine
  • CLIA Number: 49D1090106
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-01-2026

About SENTARA VOLENS FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Sentara Volens Family Medicine, a provider established in South Boston, Virginia operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1386737682 assigned on October 2006. The practitioner's primary taxonomy code is 173000000X with license number 0101032102 (VA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Sentara Volens Family Medicine. The authorized official of this NPI record is Cecil Hazelwood (Manager Sdhg)

NPI
1386737682
Provider Legal Name
DOMINION HEALTH MEDICAL ASSOC.
Other Organization Name
SENTARA VOLENS FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15210 L. P. BAILEY MEMORIAL HWY SOUTH BOSTON, VA 24592
Location Phone
(434) 349-3113
Location Fax
(434) 517-3887
Mailing Address
P.O. BOX 860 SOUTH BOSTON, VA 24592
Mailing Phone
(434) 517-3513
Mailing Fax
(434) 517-3887
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2006
Last Update Date
02-10-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
0101032102
License State
VA
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CECIL HAZELWOOD

Authorized Official Title
MANAGER SDHG
Authorized Official Phone
(434) 517-3590

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C05314MEDICARE ID-TYPE UNSPECIFIED (04)VATRAILBLAZER
493851MEDICARE ID-TYPE UNSPECIFIED (04)VARURAL HEALTH CLINIC
007610661MEDICAID (05)VA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D1090106
Facility Type
Physician Office
Certificate Effective Date
October 02, 2024
Certificate Expiration Date
October 01, 2026
Laboratory Director
PABLO C. SOUZA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sentara Volens Family Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1386737682, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 6 + 6 + 1 + 4 + 3 + 1 + 4 + 6 + 1 + 6 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1386737682.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386737682, enumerated as an "organization" on October 02, 2006.

The provider is located at 15210 L. P. BAILEY MEMORIAL HWY SOUTH BOSTON, VA 24592 and the phone number is (434) 349-3113.

Legal Medicine with taxonomy code 173000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.