SENTARA HALIFAX ANESTHESIOLOG
NPI 1639457179
Anesthesiology in South Boston, VA
About Sentara Halifax Anesthesiolog NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SENTARA HALIFAX ANESTHESIOLOG (NPI 1639457179) is a healthcare organization registered as an anesthesiology in South Boston, Virginia and active in the NPI registry since August 2011. The organization lists Cecil Hazelwood, Manager Sdhg, 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 Anesthesiolog 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 Anesthesiolog, which bills Medicare for the services they deliver. Of these, 3 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.
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 Dominion Health Medical Assoc's NPI number?
The NPI number for Dominion Health Medical Assoc is 1639457179. It was assigned to this organization in the NPPES registry on August 2, 2011. The provider is doing business as Sentara Halifax Anesthesiolog.
Where is Dominion Health Medical Assoc located?
Dominion Health Medical Assoc is located at 2204 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-3999.
What is Dominion Health Medical Assoc's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
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, 3 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dominion Health Medical Assoc was last updated on February 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 Anesthesiolog · NPI 1639457179
Anesthesiology organization in South Boston, Virginia. Organization record, active in the CMS NPPES registry since August 2, 2011.
## Identity
- **NPI:** 1639457179 (Entity type: Organization)
- **Enumerated:** August 2, 2011
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Legal business name:** Dominion Health Medical Assoc
- **Organization subpart:** No
- **Authorized official:** Cecil Hazelwood, MANAGER SDHG
## Practice location
- **Address:** 2204 WILBORN AVE, South Boston, VA 24592
- **Phone:** (434) 517-3999 · **Fax:** (434) 517-3887
## 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); 3 practice at this address and 33 within 10 miles; [full list](https://npiprofile.com/npi/1639457179/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1639457179) · Data from the CMS NPPES public registry.