OrganizationActive
Dominion Health Medical Assoc
NPI 1760740625 · Clinic/Center · South Boston, VA
Dominion Health Medical Assoc is a Clinic/Center organization in South Boston, VA (NPI 1760740625).
Provider details
- NPI number
- 1760740625
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cecil Hazelwood, Manager (sdhg)(434) 517-3515
- License
- 0101251410 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2206 Wilborn Ave
South Boston, VA 24592
Phone: (434) 517-8075
Fax: (434) 517-3887
Street-level locationGet directions
Mailing address
P.o. Box 860
South Boston, VA 24592
Other names (DBA / former)
- Doing business as
- Sentara Halifax Neurology
Registry dates
- Enumerated
- 2012-04-30
- 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 1760740625, 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 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 2206 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) 517-8075.
- 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 (1760740625) 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.