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CHARLES CITY MEDICAL GROUP INC
NPI 1043267693
Family Medicine - Adult Medicine in Richmond, VA

Active since May 28, 2006CLIA Certified · 2 labs
921 HULL ST, RICHMOND, VA 23224(804) 230-4913(804) 233-7034 Get Directions Write a Review

NPPES record last updated: July 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Charles City Medical Group Inc NPPES

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

CHARLES CITY MEDICAL GROUP INC (NPI 1043267693) is a healthcare organization registered as an adult medicine in Richmond, Virginia and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Petersburg, and lists Lerla G Joseph, President/physician, as its authorized official.

NPPES Registry Identity

NPI1043267693
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameCHARLES CITY MEDICAL GROUP INC
Location Address921 HULL STRichmond, VA 23224-4069
Mailing Address921 Hull StRichmond, VA 23224-4069 · (804) 230-4913 · Fax (800) 609-6810
Phone(804) 230-4913
Fax(804) 233-7034
Organization SubpartNo
Authorized OfficialLerla G JosephPresident/physician · (804) 230-4913
Enumeration DateMay 28, 2006
Last NPPES UpdateJuly 9, 2023
NPPES CertifiedJuly 14, 2022
✔ NPI 1043267693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in VA · 0101052550
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
921 HULL ST, Richmond, VA 23224
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Secondary Practice Location 1

Location 1849 S Sycamore StPetersburg, VA 23803-5801 · Phone (804) 732-0116 · Fax (800) 609-6810

Other Identifiers 1

Medicaid5620911VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles City Medical Group Inc 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 Charles City Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lerla Joseph, M.D.
Internal Medicine
NPI 1326087875
849 S SYCAMORE ST STE A
Petersburg, VA 23803
✔ PECOS✔ Accepts Medicare21 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0988483

Charles City Medical Group · Petersburg, VA
Active · expires Apr 22, 2028
CLIA Number49D0988483
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorLerla G. Joseph
Laboratory Phone(804) 732-0116
Laboratory LocationCharles City Medical Group849 S Sycamore Street, Petersburg, VA 23803
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D0226972

Charles City Medical Group Inc · Richmond, VA
Active · expires Apr 1, 2027
CLIA Number49D0226972
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorLerla G. Joseph
Laboratory Phone(804) 230-4913
Laboratory LocationCharles City Medical Group Inc921 Hull Street, Richmond, VA 23224
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Charles City Medical Group Inc's NPI number?

The NPI number for Charles City Medical Group Inc is 1043267693. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Charles City Medical Group Inc located?

Charles City Medical Group Inc is located at 921 Hull St, Richmond, VA 23224. The listed phone number is (804) 230-4913.

What is Charles City Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Charles City Medical Group Inc enrolled in Medicare?

Yes. Charles City Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles City Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Charles City Medical Group Inc. 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.

Does Charles City Medical Group Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Charles City Medical Group Inc was last updated on July 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.