SENTARA HALIFAX NEUROLOGY
NPI 1760740625
Clinic/Center in South Boston, VA

Q: What is Dominion Health Medical Assoc's NPI number?

The NPI number for Dominion Health Medical Assoc is 1760740625. It was assigned to this organization in the NPPES registry on April 30, 2012. The provider is doing business as Sentara Halifax Neurology.

Q: What is Dominion Health Medical Assoc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since April 30, 2012

2206 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-8075(434) 517-3887 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sentara Halifax Neurology NPPES

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

SENTARA HALIFAX NEUROLOGY (NPI 1760740625) is a healthcare organization registered as a clinic/center in South Boston, Virginia and active in the NPI registry since April 2012. The organization lists Cecil Hazelwood, Manager (sdhg), as its authorized official.

NPPES Registry Identity

NPI1760740625

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameDOMINION HEALTH MEDICAL ASSOC

Location Address2206 WILBORN AVESouth Boston, VA 24592

Mailing AddressP.o. Box 860South Boston, VA 24592 · (434) 517-3513 · Fax (434) 517-3887

Phone(434) 517-8075

Fax(434) 517-3887

Organization SubpartNo

Authorized OfficialCecil HazelwoodManager (sdhg) · (434) 517-3515

Enumeration DateApril 30, 2012

Last NPPES UpdateFebruary 10, 2015

✔ NPI 1760740625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in VA · 0101251410

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2206 WILBORN AVE, South Boston, VA 24592

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Other Names 1

Doing Business AsSentara Halifax Neurology

Other Identifiers 1

Other0101251410VA · License

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALIFAX REGIONAL HOSPITAL, INC

Clinic/Center (Rural Health)

2206 WILBORN AVE, MEDICAL OFFICE BUILDING #1
SOUTH BOSTON, VA 24592

Halifax County (434) 517-8627

JONI ABBOTT D.O.

Obstetrics & Gynecology

2206 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (434) 517-8627

UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL

Neurological Surgery

2206 WILBORN AVE, SUITE ONE
SOUTH BOSTON, VA 24592

Halifax County (984) 974-1273

DR. CHARLES WILLIAM ROSCHE M.D.

Specialist

2206 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (434) 517-8627

MRS. MAGGIE FORD BANE NP-C

Nurse Practitioner (Adult Health)

2206 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (434) 517-8627

DOMINION HEALTH MEDICAL ASSOCIATES LTD

Clinic/Center (Family Planning, Non-Surgical)

2206 WILBORN AVE
SOUTH BOSTON, VA 24592

Halifax County (434) 517-8627

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 1760740625. It was assigned to this organization in the NPPES registry on April 30, 2012. The provider is doing business as Sentara Halifax Neurology.

Where is Dominion Health Medical Assoc located?

Dominion Health Medical Assoc is located at 2206 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-8075.

What is Dominion Health Medical Assoc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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.