SENTARA HALIFAX PEDIATRICS
NPI 1457756322
Pediatrics in South Boston, VA

Q: What is Dominion Health Medical Assoc's NPI number?

The NPI number for Dominion Health Medical Assoc is 1457756322. It was assigned to this organization in the NPPES registry on November 4, 2014. The provider is doing business as Sentara Halifax Pediatrics.

Q: What is Dominion Health Medical Assoc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since November 04, 2014CLIA 49D2087553 · Waiver

101 AUBREYS LOOP, SOUTH BOSTON, VA 24592(434) 517-3879(434) 517-3989 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sentara Halifax Pediatrics NPPES

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

SENTARA HALIFAX PEDIATRICS (NPI 1457756322) is a healthcare organization registered as a pediatrics in South Boston, Virginia and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through November 27, 2026 and lists Cecil Hazelwood, Manager, as its authorized official.

NPPES Registry Identity

NPI1457756322

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameDOMINION HEALTH MEDICAL ASSOC

Location Address101 AUBREYS LOOPSouth Boston, VA 24592-5054

Mailing AddressPo Box 860South Boston, VA 24592-0860 · (434) 517-3513 · Fax (434) 572-4549

Phone(434) 517-3879

Fax(434) 517-3989

Organization SubpartNo

Authorized OfficialCecil HazelwoodManager · (434) 517-3515

Enumeration DateNovember 4, 2014

✔ NPI 1457756322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

101 AUBREYS LOOP, South Boston, VA 24592

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Other Names 1

Doing Business AsSentara Halifax Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 49D2087553

Sentara Halifax Pediatrics · South Boston, VA

Active · expires Nov 27, 2026

CLIA Number49D2087553

Laboratory TypePhysician Office

Certificate Effective DateNovember 28, 2024

Certificate Expiration DateNovember 27, 2026

Laboratory DirectorPablo C. Souza

Laboratory Phone(434) 517-8022

Laboratory LocationSentara Halifax Pediatrics2100 Wilborn Avenue, South Boston, VA 24592

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

WHITNEY HEATHER RAE HOLLEY DNP

Nurse Practitioner (Family)