SENTARA HALIFAX PEDIATRICS
NPI 1457756322
Pediatrics in South Boston, VA
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sentara Halifax Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
82Medicare enrollment records show 82 clinicians reassign Medicare billing to Sentara Halifax Pediatrics, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 82South Boston, VA 24592
South Boston, VA 24592
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, VAFrequently 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 1457756322. It was assigned to this organization in the NPPES registry on November 4, 2014. The provider is doing business as Sentara Halifax Pediatrics.
Where is Dominion Health Medical Assoc located?
Dominion Health Medical Assoc is located at 101 Aubreys Loop, South Boston, VA 24592. The listed phone number is (434) 517-3879.
What is Dominion Health Medical Assoc's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Dominion Health Medical Assoc enrolled in Medicare?
Yes. Dominion Health Medical Assoc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dominion Health Medical Assoc?
According to the CMS Revalidation Reassignment List (October 2026 release), 82 clinicians in 17 Medicare specialties reassign their Medicare billing to Dominion Health Medical Assoc. 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 General Surgery (24), Nurse Practitioner (13) and Orthopedic Surgery (10). Of these, 4 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dominion Health Medical Assoc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2087553) is associated with this NPI, valid through November 27, 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 Dominion Health Medical Assoc was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Sentara Halifax Pediatrics · NPI 1457756322
Pediatrics organization in South Boston, Virginia. Organization record, active in the CMS NPPES registry since November 4, 2014.
## Identity
- **NPI:** 1457756322 (Entity type: Organization)
- **Enumerated:** November 4, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Dominion Health Medical Assoc
- **Organization subpart:** No
- **Authorized official:** Cecil Hazelwood, MANAGER
## Practice location
- **Address:** 101 AUBREYS LOOP, South Boston, VA 24592-5054
- **Phone:** (434) 517-3879 · **Fax:** (434) 517-3989
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 82 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (24), Nurse Practitioner (13), Orthopedic Surgery (10); 4 practice at this address and 33 within 10 miles; [full list](https://npiprofile.com/npi/1457756322/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457756322) · Data from the CMS NPPES public registry.