Providence Family & Sports Medicine, Inc
NPI 1053403378 · Family Medicine Physician · Danville, VA
Providence Family & Sports Medicine, Inc is a Family Medicine Physician organization in Danville, VA (NPI 1053403378).
Provider details
- NPI number
- 1053403378
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Wood, Office Manager(434) 791-4110
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 441 Piney Forest RdSuite EDanville, VA 24540-4154Phone: (434) 791-4110Fax: (434) 791-4003
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2022-05-26
- Certified
- 2022-05-26
Frequently asked questions
- What is Providence Family & Sports Medicine, Inc's NPI number?
- Providence Family & Sports Medicine, Inc's National Provider Identifier (NPI) is 1053403378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Family & Sports Medicine, Inc?
- Providence Family & Sports Medicine, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Family & Sports Medicine, Inc located?
- Providence Family & Sports Medicine, Inc's practice location on file with NPPES is 173 Executive Dr, Danville, VA 24541-4101.
- What is Providence Family & Sports Medicine, Inc's phone number?
- The practice phone number listed in the NPPES registry for Providence Family & Sports Medicine, Inc is (434) 791-4110.
- Who is the authorized official for Providence Family & Sports Medicine, Inc?
- The authorized official listed on Providence Family & Sports Medicine, Inc's NPPES record is Lisa Wood, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Family & Sports Medicine, Inc's NPI active?
- Yes — Providence Family & Sports Medicine, Inc's NPI (1053403378) is active in the NPPES registry as of the last update on 2022-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.