| Charlottesville Wellness Center Family Practice | |
|
901 Preston Ave Suite 300 Charlottesville VA 22903-4491 | |
| (434) 977-3140 | |
| (434) 977-4984 |
| Full Name | Charlottesville Wellness Center Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 901 Preston Ave, Charlottesville, Virginia |
| Authorized Official Name and Position | Samuel D Caughron (OWNER) |
| Authorized Official Contact | 4349773140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlottesville Wellness Center Family Practice 901 Preston Ave Suite 300 Charlottesville VA 22903-4491 Ph: (434) 977-3140 | Charlottesville Wellness Center Family Practice 901 Preston Ave Suite 300 Charlottesville VA 22903-4491 Ph: (434) 977-3140 |
| NPI Number | 1013954544 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830153659 |
|---|---|
| Medicare Enrollment ID | O20041112000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013954544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tina Rutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588602536 PECOS PAC ID: 1850340068 Enrollment ID: I20050114000259 |
| Provider Name | Julia D Whiting |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144290024 PECOS PAC ID: 4688628050 Enrollment ID: I20050311000783 |
| Provider Name | Samuel D Caughron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609817121 PECOS PAC ID: 5597787523 Enrollment ID: I20091215000021 |
Davis Med Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 Ray C. Hunt Dr, Charlottesville, VA 22903 Phone: 434-244-2000 | |
Rivers Edge Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Winding River Lane, Charlottesville, VA 22911 Phone: 434-295-3705 Fax: 434-295-3705 | |
Wellfamily Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1885 Seminole Trl Ste 105, Charlottesville, VA 22901 Phone: 434-962-6234 | |
Blue Ridge Endocrinology And Diabetes Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 Spotnap Rd, Suite 2, Charlottesville, VA 22911 Phone: 434-293-7811 Fax: 434-293-7818 | |
M Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Albemarle Square, Charlottesville, VA 22901 Phone: 434-321-5257 Fax: 434-321-5259 | |
Blue Ridge Well Being Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 375 Four Leaf Ln Ste 202, Charlottesville, VA 22903 Phone: 434-205-4477 Fax: 434-205-4705 |