GLENSIDE MEDICAL ASSOCIATES, LLC
NPI 1215936901
Family Medicine in Richmond, VA

Active since July 15, 2005
4000A GLENSIDE DR, RICHMOND, VA 23228(804) 262-4763(804) 264-9683 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Glenside Medical Associates, Llc NPPES

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

GLENSIDE MEDICAL ASSOCIATES, LLC (NPI 1215936901) is a healthcare organization registered as a family medicine in Richmond, Virginia and active in the NPI registry since July 2005. The organization lists Robin Campbell, Sr Director, Enterprise Revenue Cyc, as its authorized official.

NPPES Registry Identity

NPI1215936901
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGLENSIDE MEDICAL ASSOCIATES, LLC
Location Address4000A GLENSIDE DRRichmond, VA 23228-4102
Mailing Address4000a Glenside DrRichmond, VA 23228-4102 · (804) 262-4763 · Fax (804) 264-9683
Fax(804) 264-9683
Organization SubpartNo
Authorized OfficialRobin CampbellSr Director, Enterprise Revenue Cyc · (804) 262-4763
Enumeration DateJuly 15, 2005
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1215936901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4000A GLENSIDE DR, Richmond, VA 23228

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 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)

Glenside Medical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Glenside Medical Associates, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Family Practice6
Internal Medicine2
Nurse Practitioner2

Clinicians, nearest first (10)

Family Practice
NPI 1952300634
4000A GLENSIDE DR
Henrico, VA 23228
(804) 262-4763
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1437158128
4000A GLENSIDE DR
Henrico, VA 23228
(804) 262-4763
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609875293
4000A GLENSIDE DR
Henrico, VA 23228
(804) 262-4763
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336148923
4000A GLENSIDE DR
Richmond, VA 23228
(804) 262-4763
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1033194774
2500 POCOSHOCK PL SUITE 103
North Chesterfield, VA 23235
(804) 745-2200
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1225013592
2500 POCOSHOCK PL SUITE 103
North Chesterfield, VA 23235
(804) 745-2200
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1417147315
46A BROAD STREET RD
Manakin Sabot, VA 23103
(804) 708-9480
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1760672661
46A BROAD STREET RD
Manakin Sabot, VA 23103
(804) 708-9480
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1477293991
221 E HUNDRED RD
Chester, VA 23836
(804) 530-1172
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1043943822
524 SOUTHPARK BLVD
Colonial Heights, VA 23834
(804) 504-7980
✔ PECOS✔ Accepts Medicare26 mi

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 Glenside Medical Associates, LLC's NPI number?

The NPI number for Glenside Medical Associates, LLC is 1215936901. It was assigned to this organization in the NPPES registry on July 15, 2005.

Where is Glenside Medical Associates, LLC located?

Glenside Medical Associates, LLC is located at 4000A Glenside Dr, Richmond, VA 23228. The listed phone number is (804) 262-4763.

What is Glenside Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Glenside Medical Associates, LLC enrolled in Medicare?

Yes. Glenside Medical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glenside Medical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Glenside Medical Associates, LLC. 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 Family Practice (6), Internal Medicine (2) and Nurse Practitioner (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glenside Medical Associates, LLC was last updated on September 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.