SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY
NPI 1730455411
Internal Medicine - Hematology & Oncology in South Boston, VA
About Sentora Southside Hematology & Oncology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY (NPI 1730455411) is a healthcare organization registered as a hematology & oncology in South Boston, Virginia and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Cecil F 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)
Sentora Southside Hematology & Oncology 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 Sentora Southside Hematology & Oncology, which bills Medicare for the services they deliver. Of these, 9 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
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.
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 49D0967340
Sentara Southside Hematology/Oncology · South Boston, 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 Medical Health Assoc's NPI number?
The NPI number for Dominion Medical Health Assoc is 1730455411. It was assigned to this organization in the NPPES registry on March 28, 2012. The provider is doing business as Sentora Southside Hematology & Oncology.
Where is Dominion Medical Health Assoc located?
Dominion Medical Health Assoc is located at 2232 Wilborn Ave Suite D, South Boston, VA 24592. The listed phone number is (434) 517-3640.
What is Dominion Medical Health Assoc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Dominion Medical Health Assoc enrolled in Medicare?
Yes. Dominion Medical Health Assoc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dominion Medical Health Assoc?
According to the CMS Revalidation Reassignment List (October 2026 release), 82 clinicians in 17 Medicare specialties reassign their Medicare billing to Dominion Medical Health 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, 9 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dominion Medical Health Assoc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D0967340) is associated with this NPI, valid through June 2, 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 Dominion Medical Health 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.
# Sentora Southside Hematology & Oncology · NPI 1730455411
Hematology & Oncology organization in South Boston, Virginia. Organization record, active in the CMS NPPES registry since March 28, 2012.
## Identity
- **NPI:** 1730455411 (Entity type: Organization)
- **Enumerated:** March 28, 2012
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **Legal business name:** Dominion Medical Health Assoc
- **Organization subpart:** No
- **Authorized official:** Cecil Hazelwood, MANAGER (SDHG)
## Practice location
- **Address:** 2232 WILBORN AVE, SUITE D, South Boston, VA 24592
- **Phone:** (434) 517-3640 · **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); 9 practice at this address and 33 within 10 miles; [full list](https://npiprofile.com/npi/1730455411/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2015
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1730455411) · Data from the CMS NPPES public registry.