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AMELIA LIFE CARE, LLC
NPI 1811256787
Clinic/Center - Federally Qualified Health Center (FQHC) in Amelia, VA

Active since May 11, 2012
8830 VIRGINIA STREET, AMELIA, VA 23002(434) 696-2165(434) 696-1557 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2015, Nov 25, 2015 (2 updates tracked since 2015).

About Amelia Life Care, Llc NPPES

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

AMELIA LIFE CARE, LLC (NPI 1811256787) is a healthcare organization registered as a federally qualified health center (fqhc) in Amelia, Virginia and active in the NPI registry since May 2012. The organization lists Jill W. Seamans, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811256787
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHERN DOMINION HEALTH SYSTEM, INC.
Location Address8830 VIRGINIA STREETAmelia, VA 23002
Mailing AddressPo Box 70Victoria, VA 23974-0070 · (434) 696-2165 · Fax (434) 696-1557
Phone(434) 696-2165
Fax(434) 696-1557
Organization SubpartYes
Authorized OfficialJill W. SeamansCfo · (434) 696-2165
Enumeration DateMay 11, 2012
Last NPPES UpdateDecember 3, 20152 updates tracked since enumeration
✔ NPI 1811256787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
8830 VIRGINIA STREET, Amelia, VA 23002
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Other Names 1

Doing Business AsAmelia Life Care, Llc

Other Identifiers 1

Medicare PIN491917VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amelia Life Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Amelia Life Care, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner13
Family Practice5
Pediatric Medicine2
Clinical Social Worker1
Dentist1
Internal Medicine1

Nearest to this location (20)

See all 23
Rita Barrett, NP-C
Nurse Practitioner
NPI 1497983175
8920 OTTERBURN ROAD
Amelia, VA 23002
(804) 561-5150
✔ PECOS✔ Accepts Medicare0.3 mi
Margaret Campbell, M.D.
Pediatric Medicine
NPI 1245246230
8920 OTTERBURN ROAD
Amelia, VA 23002
(804) 561-5150
✔ PECOS✔ Accepts Medicare0.3 mi
Debra Sequeira, MD
Family Practice
NPI 1851373559
8920 OTTERBURN ROAD
Amelia, VA 23002
(804) 561-5150
✔ PECOS✔ Accepts Medicare0.3 mi
Courtney Barrett, NP
Nurse Practitioner
NPI 1376191197
12522 W COLONIAL TRAIL HWY
Crewe, VA 23930
(434) 645-9191
✔ PECOS✔ Accepts Medicare14 mi
Christy Johnson-Oliver, NP
Nurse Practitioner
NPI 1609386465
213 N MAIN ST
Blackstone, VA 23824
(434) 292-7261
✔ PECOS✔ Accepts Medicare18 mi
Kassandra Phillips, D.O.
Pediatric Medicine
NPI 1861698342
2937 FOX CHASE LN
Midlothian, VA 23112
(804) 372-3473
✔ PECOS20 mi
Stephanie Musick, CPNP
Nurse Practitioner
NPI 1750950176
11601 ROBIOUS RD STE 100
Midlothian, VA 23113
(804) 379-9494
✔ PECOS24 mi
Emily Kluball, M.D.
Family Practice
NPI 1326571092
11601 IRON BRIDGE RD STE 117
Chester, VA 23831
(804) 717-5300
✔ PECOS✔ Accepts Medicare27 mi
Kasey Gaulden, FNP
Nurse Practitioner
NPI 1639658065
9000 STONY POINT PKWY
Richmond, VA 23235
(804) 560-8945
✔ PECOS27 mi
Shannon Rakes, LCSW
Clinical Social Worker
NPI 1629403209
1685 K-V ROAD
Victoria, VA 23974
(434) 696-2319
✔ PECOS✔ Accepts Medicare28 mi
Juliette Staples
Nurse Practitioner
NPI 1023566908
6530 HULL STREET RD
Richmond, VA 23224
(804) 674-3425
✔ PECOS✔ Accepts Medicare28 mi
Hyo Park, D.O.
Family Practice
NPI 1730170770
13855 COURTHOUSE RD
Dinwiddie, VA 23841
(804) 469-3731
✔ PECOS✔ Accepts Medicare28 mi
Amanda Russell
Family Practice
NPI 1114312295
13855 COURTHOUSE RD
Dinwiddie, VA 23841
(804) 469-3731
✔ PECOS✔ Accepts Medicare28 mi
Elizabeth Stanley, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1801659826
13855 COURTHOUSE RD
Dinwiddie, VA 23841
(804) 469-3731
✔ PECOS✔ Accepts Medicare28 mi
Elizabeth Buchanan, FNP-BC
Nurse Practitioner
NPI 1932592987
1508 K V RD
Victoria, VA 23974
(434) 696-2165
✔ PECOS✔ Accepts Medicare30 mi
Margaret Inge, DO
Family Practice
NPI 1174934954
1508 K V RD
Victoria, VA 23974
(434) 696-2165
✔ PECOS✔ Accepts Medicare30 mi
Kristin Jones, FNP-BC
Nurse Practitioner
NPI 1811743610
1508 K V RD
Victoria, VA 23974
(434) 321-9987
✔ PECOS✔ Accepts Medicare30 mi
Anna Hues, CPNP
Nurse Practitioner
NPI 1134473150
1000 E BROAD ST
Richmond, VA 23219
(804) 828-2467
✔ PECOS33 mi
Rasha Kafi, NP
Nurse Practitioner
NPI 1154962231
263 MEDICAL PARK BLVD
Petersburg, VA 23805
(804) 431-1100
✔ PECOS✔ Accepts Medicare36 mi
Fitzgerald Marcelin, MD
Internal Medicine
NPI 1285818229
702 N MAIN ST
Emporia, VA 23847
(434) 634-7723
✔ PECOS✔ Accepts Medicare50 mi
See all 23 clinicians

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 Southern Dominion Health System, Inc.'s NPI number?

The NPI number for Southern Dominion Health System, Inc. is 1811256787. It was assigned to this organization in the NPPES registry on May 11, 2012. The provider is doing business as Amelia Life Care, LLC.

Where is Southern Dominion Health System, Inc. located?

Southern Dominion Health System, Inc. is located at 8830 Virginia Street, Amelia, VA 23002. The listed phone number is (434) 696-2165.

What is Southern Dominion Health System, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Southern Dominion Health System, Inc. enrolled in Medicare?

Yes. Southern Dominion Health System, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Dominion Health System, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 6 Medicare specialties reassign their Medicare billing to Southern Dominion Health System, 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 Nurse Practitioner (13), Family Practice (5) and Pediatric Medicine (2). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Dominion Health System, Inc. was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.