Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Matthew Alexander Petrilli, MD

Individual provider Psychiatry Physician · NPI 1538567177

Dr. Matthew Alexander Petrilli, MD is a Psychiatry in South Boston, Virginia. Qualified in 2014, 12 years ago. Practices with Dominion Health Medical Assoc, a 34-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Virginia.

Years since qualifying
12
Licensed in
NC, VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

504 Wilborn Ave Fl 5
South Boston, VA 24592-3120
Phone: (434) 517-3400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2020-00301 (NC)
Psychiatry Physician Taxonomy 2084P0800X · Licence 0101267115 (VA)

Record details

NPI number1538567177
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 14, 2014
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Dominion Health Medical Assoc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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