RAENA M. PETTITT D.O. – NPI #1124025085
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

RAENA PETTITT is a physician located in LYNCHBURG, VA. NPPES has assigned the NPI number 1124025085 to RAENA PETTITT on July 06, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 10 years ago on Sep 21, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RAENA PETTITT below.

NPI Profile for
RAENA M. PETTITT

NPI Number
1124025085
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
RAENA M. PETTITT
Credentials
D.O.
Primary location
2321 WARDS RD
LYNCHBURG, VA 24502-2101
Phone: (434) 582-2273 Fax: (434) 582-1363
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for RAENA PETTITT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERANTHEM PROVIDER NUMBER186414
OTHERCIGNA PROVIDER NUMBER2379390
OTHERMEDCOST PROVIDER NUMBERD5084
OTHERPCHP PROVIDER NUMBER203639329
OTHERSENTARA/OPTIMA PROVIDER N78660
OTHERSOUTHERN HEALTH PROVIDER329088
OTHERTRICARE PROVIDER NUMBER203639329013
OTHERUNITED HEALTHCARE PROVIDE203639329
OTHERVA PREMIER PROVIDER NUMBE010215048
MEDICAIDVA010215048
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
VA 0102201453

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.