ATLANTIC COMMUNITY HEALTH CENTER
NPI 1043341613
Clinic/Center - Federally Qualified Health Center (FQHC) in New Church, VA

Active since March 08, 2007CLIA 49D0228468 · Microscopy
5219 LANKFORD HWY, NEW CHURCH, VA 23415(757) 824-5676(757) 824-5872 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2023, Mar 3, 2022 (2 updates tracked since 2022).

About Atlantic Community Health Center NPPES

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

ATLANTIC COMMUNITY HEALTH CENTER (NPI 1043341613) is a healthcare organization registered as a federally qualified health center (fqhc) in New Church, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Jeannette Edwards, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1043341613
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Location Address5219 LANKFORD HWYNew Church, VA 23415-3332
Mailing Address20280 Market StOnancock, VA 23417-1331 · (757) 414-0401 · Fax (757) 414-0569
Fax(757) 824-5872
Organization SubpartNo
Authorized OfficialJeannette EdwardsChief Executive Officer · (757) 414-0400
Enumeration DateMarch 8, 2007
Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1043341613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
5219 LANKFORD HWY, New Church, VA 23415

Other Names 1

Doing Business AsAtlantic Community Health Center

Other Identifiers 1

Medicaid007695187VA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlantic Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Atlantic Community Health Center, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner20
Family Practice8
Pediatric Medicine3
Clinical Social Worker2
Dentist1
Internal Medicine1
Mental Health Counselor1

Nearest to this location (20)

See all 36
Nurse Practitioner
NPI 1881694248
5219 LANKFORD HWY
New Church, VA 23415
(757) 824-5676
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518365881
5219 LANKFORD HWY
New Church, VA 23415
(757) 414-0400
✔ PECOSSame address
Family Practice
NPI 1811975147
5219 LANKFORD HWY
New Church, VA 23415
(757) 824-5676
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1477080612
5219 LANKFORD HWY
New Church, VA 23415
(757) 414-0400
✔ PECOSSame address
Nurse Practitioner
NPI 1699545848
5219 LANKFORD HWY
New Church, VA 23415
(757) 824-5676
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1922974443
5219 LANKFORD HWY
New Church, VA 23415
(757) 414-0400
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1245545235
5219 LANKFORD HWY
New Church, VA 23415
(757) 824-5676
✔ PECOSSame address
Internal Medicine
NPI 1972581049
5219 LANKFORD HWY
New Church, VA 23415
(757) 824-5676
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558134593
5219 LANKFORD HWY
New Church, VA 23415
(757) 414-0400
✔ PECOSSame address
Nurse Practitioner
NPI 1730148669
ATLANTIC COMMUNITY HEALTH CENTER 5219 LANKFORD HIGHWAY
New Church, VA 23415
(757) 824-5676
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184406407
4049 MAIN ST
Chincoteague, VA 23336
(757) 414-0400
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1437713542
25228 LANKFORD HIGHWAY SUITE #100,
Onley, VA 23418
(757) 787-1465
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1417443169
25228 LANKFORD HWY
Onley, VA 23418
(757) 787-1465
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1639654122
25228 LANKFORD HWY
Onley, VA 23418
(757) 787-1465
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1669405502
25228 LANKFORD HWY
Onley, VA 23418
(757) 414-0400
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1063476471
20306 BADGER LANE
Onley, VA 23418
(757) 787-7374
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1386622611
20306 BADGER LANE
Onley, VA 23418
(757) 787-7374
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1114168440
20306 BADGER LN
Onancock, VA 23417
(757) 414-0400
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1316586225
20306 BADGER LANE
Onancock, VA 23417
(757) 414-0400
✔ PECOS✔ Accepts Medicare22 mi
Pediatric Medicine
NPI 1356584171
20306 BADGER LN
Onley, VA 23418
(757) 787-3234
✔ PECOS22 mi
See all 36 clinicians

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

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 for Provider-Performed Microscopy Procedures (PPMP) 49D0228468

Atlantic Community Health Center · New Church, VA
Active · expires Dec 22, 2027
CLIA Number49D0228468
Laboratory TypeOther
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorJeanne R. Roll
Laboratory Phone(757) 824-5676
Laboratory LocationAtlantic Community Health Center5219 Lankford Highway, New Church, VA 23415
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Eastern Shore Rural Health System Incorporated's NPI number?

The NPI number for Eastern Shore Rural Health System Incorporated is 1043341613. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Atlantic Community Health Center.

Where is Eastern Shore Rural Health System Incorporated located?

Eastern Shore Rural Health System Incorporated is located at 5219 Lankford Hwy, New Church, VA 23415. The listed phone number is (757) 824-5676.

What is Eastern Shore Rural Health System Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Eastern Shore Rural Health System Incorporated enrolled in Medicare?

Yes. Eastern Shore Rural Health System Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Shore Rural Health System Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 7 Medicare specialties reassign their Medicare billing to Eastern Shore Rural Health System Incorporated. 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. The largest specialties are Nurse Practitioner (20), Family Practice (8) and Pediatric Medicine (3). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eastern Shore Rural Health System Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0228468) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eastern Shore Rural Health System Incorporated accept?

Health plans from UnitedHealthcare list Eastern Shore Rural Health System Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastern Shore Rural Health System Incorporated was last updated on March 22, 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.