| Dr Kirby D Southall, MD | |
|
5609 Claiborne Rd, Sutherland, VA 23885-9303 | |
| (804) 265-5211 | |
| (804) 265-2707 |
| Full Name | Dr Kirby D Southall |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 5609 Claiborne Rd, Sutherland, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750358750 | NPI | - | NPPES |
| 828665 | Other | VA | OPT CHOICE |
| 100629 | Other | VA | ANTHEM |
| 5697727 | Medicaid | VA | |
| 080642 | Other | VA | QUALCHOICE |
| 45882 | Other | VA | SENTARA |
| 815042 | Other | VA | SOUTHERN HEALTH |
| 5697727 | Other | VA | VA. PREMIER |
| 577244 | Other | VA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101039352 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| At Home Care | Richmond, VA | Home health agency |
| Southside Regional Home Health | Petersburg, VA | Home health agency |
| Amedisys Home Health | Midlothian, VA | Home health agency |
| Southside Regional Medical Center | Petersburg, VA | Hospital |
| Medical College Of Virginia Hospitals | Richmond, VA | Hospital |
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| John Randolph Medical Center | Hopewell, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutherland Family Practice Inc | 1153309703 | 3 |
| Entity Name | Sutherland Family Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699869487 PECOS PAC ID: 1153309703 Enrollment ID: O20040709001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kirby D Southall, MD 5609 Claiborne Rd, Sutherland, VA 23885-9303 Ph: (804) 265-5211 | Dr Kirby D Southall, MD 5609 Claiborne Rd, Sutherland, VA 23885-9303 Ph: (804) 265-5211 |
Caleb Donaldson Southall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5609 Claiborne Rd, Sutherland, VA 23885 Phone: 804-265-5211 | |
Dr. William James Phipps Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5609 Claiborne Rd, Sutherland, VA 23885 Phone: 804-265-5211 Fax: 804-265-2707 |