PENINSULA HEALTH DISTRICT
NPI 1083611107
Clinic/Center - Public Health, State or Local in Newport News, VA

Active since July 05, 2005CLIA 49D0229965 · Microscopy
836 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601(757) 594-7305(757) 594-7714 Get Directions Write a Review

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

About Peninsula Health District NPPES

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

PENINSULA HEALTH DISTRICT (NPI 1083611107) is a healthcare organization registered as a public health, state or local in Newport News, Virginia and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through August 18, 2028 and lists Natasha Dwamena, Health Director, as its authorized official.

NPPES Registry Identity

NPI1083611107
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameCOMMONWEALTH OF VIRGINIA/STATE BOARD OF HEALTH
Location Address836 J CLYDE MORRIS BLVDNewport News, VA 23601-1303
Mailing Address416 J Clyde Morris BlvdNewport News, VA 23601-1927 · (757) 594-7305 · Fax (757) 594-7714
Fax(757) 594-7714
Organization SubpartNo
Authorized OfficialNatasha DwamenaHealth Director · (757) 594-7300
Enumeration DateJuly 5, 2005
Last NPPES UpdateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1083611107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
License✔ Licensed in VA · 00240339042
836 J CLYDE MORRIS BLVD, Newport News, VA 23601

Other Names 1

Doing Business AsPeninsula Health District

Other Identifiers 2

Medicaid4975103VA
OtherP00245240VA · Palmetto Gba-medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peninsula Health District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Peninsula Health District, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Obstetrics/Gynecology
NPI 1609023308
416 J CLYDE MORRIS BLVD
Newport News, VA 23601
(757) 594-7305
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215907183
620 JOHN PAUL JONES CIR
Portsmouth, VA 23708
(757) 953-4174
✔ PECOS17 mi
Preventive Medicine
NPI 1982665188
748 BATTLEFIELD BLVD N
Chesapeake, VA 23320
(757) 382-8629
✔ PECOS25 mi
Preventive Medicine
NPI 1225328099
1320 CENTRAL PARK BLVD STE 300
Fredericksburg, VA 22401
(540) 322-5930
✔ PECOS103 mi
Infectious Disease
NPI 1639355241
70 MEDICAL CENTER CIR STE 107
Fishersville, VA 22939
(540) 245-7030
✔ PECOS156 mi
Obstetrics/Gynecology
NPI 1619926680
201 FRANCIS MARION LN DISTRICT OFFICE, 2ND FLOOR
Marion, VA 24354
(276) 781-7450
✔ PECOS279 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

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) 49D0229965

Peninsula Health District · Newport News, VA
Active · expires Aug 18, 2028
CLIA Number49D0229965
Laboratory TypePublic Health Laboratories
Certificate Effective DateAugust 19, 2026
Certificate Expiration DateAugust 18, 2028
Laboratory DirectorNatasha Dwamena
Laboratory Phone(757) 594-7300
Laboratory LocationPeninsula Health District836-A J Clyde Morris Blvd Peninsula Health Center, Lab Services, 1st Floor, Newport News, VA 23601
CLIA data matches this NPI record on: 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 Commonwealth Of Virginia/State Board Of Health's NPI number?

The NPI number for Commonwealth Of Virginia/State Board Of Health is 1083611107. It was assigned to this organization in the NPPES registry on July 5, 2005. The provider is doing business as Peninsula Health District.

Where is Commonwealth Of Virginia/State Board Of Health located?

Commonwealth Of Virginia/State Board Of Health is located at 836 J Clyde Morris Blvd, Newport News, VA 23601. The listed phone number is (757) 594-7305.

What is Commonwealth Of Virginia/State Board Of Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

Is Commonwealth Of Virginia/State Board Of Health enrolled in Medicare?

Yes. Commonwealth Of Virginia/State Board Of Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Commonwealth Of Virginia/State Board Of Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Commonwealth Of Virginia/State Board Of Health, in Infectious Disease, Nurse Practitioner, Obstetrics/Gynecology and Preventive Medicine. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Commonwealth Of Virginia/State Board Of Health hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0229965) is associated with this NPI, valid through August 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Commonwealth Of Virginia/State Board Of Health was last updated on November 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.