DINWIDDIE MEDICAL CENTER
NPI 1487867206
Clinic/Center - Federally Qualified Health Center (FQHC) in Dinwiddie, VA
About Dinwiddie Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DINWIDDIE MEDICAL CENTER (NPI 1487867206) is a healthcare organization registered as a federally qualified health center (fqhc) in Dinwiddie, Virginia and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through May 29, 2028 and lists April King, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Dinwiddie Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Dinwiddie Medical Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 23Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 49D0999982
Dinwiddie Medical Center Sdhs Inc · Dinwiddie, 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 Southern Dominion Health System, Inc.'s NPI number?
The NPI number for Southern Dominion Health System, Inc. is 1487867206. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider is doing business as Dinwiddie Medical Center.
Where is Southern Dominion Health System, Inc. located?
Southern Dominion Health System, Inc. is located at 13855 Courthouse Rd, Dinwiddie, VA 23841. The listed phone number is (804) 469-3731.
What is Southern Dominion Health System, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Southern Dominion Health System, Inc. enrolled in Medicare?
Yes. Southern Dominion Health System, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Dominion Health System, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 6 Medicare specialties reassign their Medicare billing to Southern Dominion Health System, Inc.. 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 Nurse Practitioner (13), Family Practice (5) and Pediatric Medicine (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Dominion Health System, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0999982) is associated with this NPI, valid through May 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southern Dominion Health System, Inc. was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dinwiddie Medical Center · NPI 1487867206
Federally Qualified Health Center (FQHC) organization in Dinwiddie, Virginia. Organization record, active in the CMS NPPES registry since May 8, 2007.
## Identity
- **NPI:** 1487867206 (Entity type: Organization)
- **Enumerated:** May 8, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Southern Dominion Health System, Inc.
- **Organization subpart:** Yes (part of Southern Dominion Health System, Inc.)
- **Authorized official:** April King, CEO
## Practice location
- **Address:** 13855 COURTHOUSE RD, Dinwiddie, VA 23841-2254
- **Phone:** (804) 469-3731 · **Fax:** (804) 469-5307
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (5), Pediatric Medicine (2); 3 practice at this address; [full list](https://npiprofile.com/npi/1487867206/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2024
- **Other identifiers:** Medicaid 007604025 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487867206) · Data from the CMS NPPES public registry.