DIRECT ACCESS INTERNAL MEDICINE LTD
NPI 1639476831
Internal Medicine in Gloucester, VA

Active since February 24, 2011CLIA 49D2045209 · Accreditation
6609 MAIN ST, GLOUCESTER, VA 23061(804) 832-0391 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Direct Access Internal Medicine Ltd NPPES

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

DIRECT ACCESS INTERNAL MEDICINE LTD (NPI 1639476831) is a healthcare organization registered as an internal medicine in Gloucester, Virginia and active in the NPI registry since February 2011. The organization holds an CLIA Accreditation certificate valid through September 30, 2028 and lists Ronald Haggerty, Owner, as its authorized official.

NPPES Registry Identity

NPI1639476831
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDIRECT ACCESS INTERNAL MEDICINE LTD
Location Address6609 MAIN STGloucester, VA 23061-5194
Mailing Address6609 Main StGloucester, VA 23061-5194
Organization SubpartNo
Authorized OfficialRonald HaggertyOwner · (804) 832-0391
Enumeration DateFebruary 24, 2011
✔ NPI 1639476831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6609 MAIN ST, Gloucester, VA 23061

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Direct Access Internal Medicine Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Direct Access Internal Medicine Ltd, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1679165823
6609 MAIN ST
Gloucester, VA 23061
(804) 824-9153
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1487340782
6609 MAIN ST
Gloucester, VA 23061
(804) 824-9153
✔ PECOSSame address
Internal Medicine
NPI 1083702385
6609 MAIN ST
Gloucester, VA 23061
(804) 824-9153
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700947769
7519 HOSPITAL DR
Gloucester, VA 23061
(804) 693-8810
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1447211792
2246 GEORGE WASHINGTON MEMORIAL HWY
Hayes, VA 23072
(804) 642-6171
✔ PECOS✔ Accepts Medicare10.0 mi
Clinical Social Worker
NPI 1861597692
40 COURT STREET
Mathews, VA 23109
(804) 854-1961
✔ PECOS✔ Accepts Medicare11 mi

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 Accreditation 49D2045209

Direct Access Internal Medicine · Gloucester, VA
Active · expires Sep 30, 2028
CLIA Number49D2045209
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2026
Certificate Expiration DateSeptember 30, 2028
Laboratory DirectorDr. Ronald D. Haggerty
Laboratory Phone(804) 824-9153
Laboratory LocationDirect Access Internal Medicine6609 Main Street, Gloucester, VA 23061
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Direct Access Internal Medicine Ltd's NPI number?

The NPI number for Direct Access Internal Medicine Ltd is 1639476831. It was assigned to this organization in the NPPES registry on February 24, 2011.

Where is Direct Access Internal Medicine Ltd located?

Direct Access Internal Medicine Ltd is located at 6609 Main St, Gloucester, VA 23061. The listed phone number is (804) 832-0391.

What is Direct Access Internal Medicine Ltd's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Direct Access Internal Medicine Ltd enrolled in Medicare?

Yes. Direct Access Internal Medicine Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Direct Access Internal Medicine Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Direct Access Internal Medicine Ltd. 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 (3), Internal Medicine (2) and Clinical Social Worker (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Direct Access Internal Medicine Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 49D2045209) is associated with this NPI, valid through September 30, 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 Direct Access Internal Medicine Ltd was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.