DICKENSON COMMUNITY HOSPITAL, INC.
NPI 1679992358
Psychiatry & Neurology - Psychiatry in Clintwood, VA
About Dickenson Community Hospital, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DICKENSON COMMUNITY HOSPITAL, INC. (NPI 1679992358), doing business as Dma Behavioral Health Green Oak, is a healthcare organization registered as a psychiatry in Clintwood, Virginia and active in the NPI registry since April 2014. The organization lists Carl Kilgore, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dickenson Community Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Dickenson Community Hospital, Inc., 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 3
Nearest to this location (20)
See all 21Richmond, VA 23249
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 Dickenson Community Hospital, Inc.'s NPI number?
The NPI number for Dickenson Community Hospital, Inc. is 1679992358. It was assigned to this organization in the NPPES registry on April 10, 2014. The provider is doing business as Dma Behavioral Health Green Oak.
Where is Dickenson Community Hospital, Inc. located?
Dickenson Community Hospital, Inc. is located at 364 Hospital Dr, Clintwood, VA 24228. The listed phone number is (276) 926-0330.
What is Dickenson Community Hospital, Inc.'s specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Dickenson Community Hospital, Inc. enrolled in Medicare?
Yes. Dickenson Community Hospital, Inc. is registered in the Medicare PECOS enrollment system.
When is Dickenson Community Hospital, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dickenson Community Hospital, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 3 Medicare specialties reassign their Medicare billing to Dickenson Community Hospital, 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 Psychiatry (11), Nurse Practitioner (8) and Internal Medicine (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dickenson Community Hospital, Inc. was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Dickenson Community Hospital, Inc. · NPI 1679992358
Psychiatry organization in Clintwood, Virginia. Organization record, active in the CMS NPPES registry since April 10, 2014.
## Identity
- **NPI:** 1679992358 (Entity type: Organization)
- **Enumerated:** April 10, 2014
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Also known as:** DMA BEHAVIORAL HEALTH GREEN OAK (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Carl Kilgore, PRESIDENT
## Practice location
- **Address:** 364 HOSPITAL DR, Clintwood, VA 24228
- **Phone:** (276) 926-0330 · **Fax:** (276) 926-0254
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 21 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (11), Nurse Practitioner (8), Internal Medicine (2); 3 practice at this address; [full list](https://npiprofile.com/npi/1679992358/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 2, 2025
- **Other identifiers:** Medicaid 1871517151 (VA); Other DC7419 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1679992358) · Data from the CMS NPPES public registry.