SENTARA CLARKSVILLE FAMILY MEDICINE
NPI 1669572897
Legal Medicine in Clarksville, VA
About Sentara Clarksville Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SENTARA CLARKSVILLE FAMILY MEDICINE (NPI 1669572897) is a healthcare organization registered as a legal medicine in Clarksville, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Cecil Hazelwood, Manager (sdhg), as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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 Clarksville Family Medicine 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 Clarksville Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address. 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
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 49D0231172
Sentara Clarksville Family Medicine · Clarksville, 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 1669572897. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Sentara Clarksville Family Medicine.
Where is Dominion Health Medical Assoc located?
Dominion Health Medical Assoc is located at 115 College St, Clarksville, VA 23927. The listed phone number is (434) 374-5344.
What is Dominion Health Medical Assoc's specialty?
The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.
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, 1 practice at this address. 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 49D0231172) is associated with this NPI, valid through January 31, 2027. 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 February 11, 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 Clarksville Family Medicine · NPI 1669572897
Legal Medicine organization in Clarksville, Virginia. Organization record, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1669572897 (Entity type: Organization)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Legal Medicine · taxonomy 173000000X
- **Legal business name:** Dominion Health Medical Assoc
- **Organization subpart:** No
- **Authorized official:** Cecil Hazelwood, MANAGER (SDHG)
## Practice location
- **Address:** 115 COLLEGE ST, Clarksville, VA 23927
- **Phone:** (434) 374-5344 · **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); 1 practice at this address; [full list](https://npiprofile.com/npi/1669572897/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2015
- **Other identifiers:** Medicare ID-Type Unspecified C04633 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669572897) · Data from the CMS NPPES public registry.