ALIVE TOTAL WELLNESS
NPI 1033938394
Clinic/Center - Health Service in Suffolk, VA

Active since October 04, 2024
4020 EDINBURGH CT, SUFFOLK, VA 23434(757) 535-5332 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2025, Dec 11, 2024, Oct 4, 2024 (3 updates tracked since 2024).

About Alive Total Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALIVE TOTAL WELLNESS (NPI 1033938394) is a healthcare organization registered as a health service in Suffolk, Virginia and active in the NPI registry since October 2024. The organization maintains a secondary practice location in Portsmouth and lists Neil Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1033938394
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameALIVE TOTAL WELLNESS
Location Address4020 EDINBURGH CTSuffolk, VA 23434-7055
Mailing Address4020 Edinburgh CtSuffolk, VA 23434-7055 · (757) 535-5332
Organization SubpartNo
Authorized OfficialNeil WilliamsOwner · (757) 535-5332
Enumeration DateOctober 4, 2024
Last NPPES UpdateJune 23, 20253 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1033938394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
4020 EDINBURGH CT, Suffolk, VA 23434

Secondary Practice Location 1

Location 1100 7th St Ste 104Portsmouth, VA 23704-4800 · Phone (757) 780-9878

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alive Total Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Alive Total Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1154662450
4020 EDINBURGH CT
Suffolk, VA 23434
(757) 780-9878
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alive Total Wellness's NPI number?

The NPI number for Alive Total Wellness is 1033938394. It was assigned to this organization in the NPPES registry on October 4, 2024.

Where is Alive Total Wellness located?

Alive Total Wellness is located at 4020 Edinburgh Ct, Suffolk, VA 23434. The listed phone number is (757) 535-5332.

What is Alive Total Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Alive Total Wellness enrolled in Medicare?

Yes. Alive Total Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alive Total Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Alive Total Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Alive Total Wellness was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.