OrganizationActive
Southern Dominion Health System
NPI 1104067701 · Clinic/Center · Amelia Court House, VA
Provider details
- NPI number
- 1104067701
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Turner, Chief Executive Officer(434) 696-2165
- License
- 0 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
8631 Namozine Rd
Amelia Court House, VA 23002-3410
Phone: (804) 561-6263
Street-level locationGet directions
Mailing address
8631 Namozine Rd
Amelia Court House, VA 23002-3410
Registry dates
- Enumerated
- 2009-03-12
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.