COUNTRY DOCTOR, LTD – Family Medicine Physician, NPI 1467654574

COUNTRY DOCTOR, LTD is a healthcare provider. based in Locust grove, Virginia. specializing in Family Medicine Physician. The NPI Number for COUNTRY DOCTOR, LTD is 1467654574

Main info

Organization
Name
COUNTRY DOCTOR, LTD
NPI
1467654574
Phone
(540) 423-1788
Address
35070 GERMANNA HEIGHTS DR
Authorized Official
MISS STEPHANIE H. CAMPAU OFFICE MANAGER
Enumeration Date
1 June 2007
Last Update Date
25 September 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for COUNTRY DOCTOR, LTD

  • Paradoc's Animal Hospital, 35070, Germanna Heights Drive, Flat Run, Orange County, Virginia, 22508, United States

    STE A

    LOCUST GROVE, VA 225083108

    Phone: (540) 423-1788

    Fax: (540) 423-1755

    Mailing address matches the actual address.

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: 2007-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-06-30 (710 days ago).

Enrollment records

1

Earliest due date

2024-06-30

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
O20070730000521OClinic/Group PracticeVA2024-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 22508)

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Reviews

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Frequently asked questions

What NPI should I save for COUNTRY DOCTOR, LTD?
Save NPI 1467654574 if you need a stable reference for COUNTRY DOCTOR, LTD.
Is COUNTRY DOCTOR, LTD's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does COUNTRY DOCTOR, LTD work in?
You can think of COUNTRY DOCTOR, LTD as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is COUNTRY DOCTOR, LTD's primary listing?
We display Locust Grove, Virginia because that is what the record indicates for COUNTRY DOCTOR, LTD.
Is COUNTRY DOCTOR, LTD a real provider?
This page reflects official NPPES data for NPI 1467654574. Always confirm identity and privileges with the practice and licensing boards.

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