Dominion Health Medical Assoc.
NPI 1255771770 · Ambulatory Surgical Clinic/Center · South Boston, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dominion Health Medical Assoc. is a Ambulatory Surgical Clinic/Center organization in South Boston, VA (NPI 1255771770).
Provider details
- NPI number
- 1255771770
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cecil Hazelwood, Manager (sdhg)(434) 517-3590
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Other names (DBA / former)
- Doing business as
- Sentora Halifax General Surgery
Registry dates
- Enumerated
- 2013-06-28
- Last updated
- 2015-02-10
Frequently asked questions
- What is Dominion Health Medical Assoc.'s NPI number?
- Dominion Health Medical Assoc.'s National Provider Identifier (NPI) is 1255771770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dominion Health Medical Assoc.?
- Dominion Health Medical Assoc. is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dominion Health Medical Assoc. located?
- Dominion Health Medical Assoc.'s practice location on file with NPPES is 2212 Wilborn Ave, South Boston, VA 24592.
- What is Dominion Health Medical Assoc.'s phone number?
- The practice phone number listed in the NPPES registry for Dominion Health Medical Assoc. is (434) 517-3529.
- Does Dominion Health Medical Assoc. accept Medicare?
- Dominion Health Medical Assoc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dominion Health Medical Assoc.?
- The authorized official listed on Dominion Health Medical Assoc.'s NPPES record is Cecil Hazelwood, Manager (sdhg). The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dominion Health Medical Assoc.'s NPI active?
- Yes — Dominion Health Medical Assoc.'s NPI (1255771770) is active in the NPPES registry as of the last update on 2015-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.