DR. GEOFFREY WAYNE LUDFORD EDD
NPI 1205888393
Counselor - Professional in Portsmouth, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment

3300 ACADEMY AVE, PORTSMOUTH, VA 23703(757) 483-6404(757) 483-0737 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Geoffrey Wayne Ludford Edd NPPES

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

DR. GEOFFREY WAYNE LUDFORD EDD (NPI 1205888393) is an individual professional provider in Portsmouth, Virginia, licensed in Virginia (0701002140) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1205888393

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDR. GEOFFREY WAYNE LUDFORDCredential: EDD

Location Address3300 ACADEMY AVEPortsmouth, VA 23703-3205

Mailing Address3300 Academy AvenuePortsmouth, VA 23703-3205 · (757) 483-6404 · Fax (757) 483-0737

Phone(757) 483-6404

Fax(757) 483-0737

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateMay 17, 2006

Last NPPES UpdateOctober 19, 2012

✔ NPI 1205888393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701002140

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 0717000203 (VA)

3300 ACADEMY AVE, Portsmouth, VA 23703

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Other Identifiers 3

Medicaid005409357VA

Other214324VA · Anthem Bcbs

OtherO81365VA · Sentara/optima Health Ins

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Geoffrey Wayne Ludford Edd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789036880

PECOS Enrollment IDI20240113000055

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.