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Providence Family & Sports Medicine, Inc

Family Medicine Physician in Danville, VA · enumerated 2006 · authorized official Lisa Wood, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053403378

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Family & Sports Medicine, Inc
Practice address 173 Executive Dr, Danville, VA, 24541
Phone (434) 791-4110
Fax (434) 791-4003
Enumeration date Sep 28, 2006
Last updated in NPPES May 26, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lisa Wood
Title Office Manager
Phone (434) 791-4110

Other identifiers

Identifier Type State Issuer
1053403378 Other - NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Providence Family & Sports Medicine, Inc?
The NPI for Providence Family & Sports Medicine, Inc is 1053403378, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Providence Family & Sports Medicine, Inc?
NPPES lists Lisa Wood (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-26.