SALLY- ANN TRACY MCINTOSH (MD) – Internal Medicine Physician, NPI 1003915851

SALLY- ANN TRACY MCINTOSH (MD) is a healthcare provider. based in Williamsburg, Virginia. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. A95180 (CA). The NPI Number for SALLY- ANN TRACY MCINTOSH (MD) is 1003915851

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SALLY- ANN TRACY MCINTOSH (MD)
NPI
1003915851
Phone
(757) 984-7217
Address
100 Sentara Cir Rm 2C
Enumeration Date
21 September 2006
Last Update Date
22 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8045947300
Graduation Year
1999 (27 years ago)
PAC ID
5193887214
Group Practice PAC ID
4688002090
Professional Enrollment ID
I20110415000517
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for SALLY- ANN TRACY MCINTOSH (MD)

  • 100 Sentara Cir Rm 2C

    Williamsburg, VA 231885713

    Phone: (757) 984-7217

    Type: Location

  • Medical Associates, 2215, Landover Place, Lynchburg, Lynchburg (city), Virginia, 24501, United States

    LYNCHBURG, VA 245012115

    Phone: (434) 947-3944

    Fax: (866) 617-8273

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110415000517IInternal MedicineVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23188)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688002090View full group profile

Reviews

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Frequently asked questions

What number should I use to identify SALLY- ANN TRACY MCINTOSH (MD) for billing?
Administrative and clinical systems typically use NPI 1003915851 for SALLY- ANN TRACY MCINTOSH (MD).
Quick check: is SALLY- ANN TRACY MCINTOSH (MD) active?
Public NPPES data shows SALLY- ANN TRACY MCINTOSH (MD) with an active NPI status right now.
How should patients interpret SALLY- ANN TRACY MCINTOSH (MD)'s specialty?
The extract shows Internal Medicine Physician for SALLY- ANN TRACY MCINTOSH (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to SALLY- ANN TRACY MCINTOSH (MD)?
SALLY- ANN TRACY MCINTOSH (MD) is associated with Williamsburg, Virginia in the same public data insurers reference.
Why is information missing for SALLY- ANN TRACY MCINTOSH (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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