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SOUTHEAST VIRGINIA PSYCHIATRY PLLC
NPI 1245095512
Nurse Practitioner - Psychiatric/Mental Health in Virginia Beach, VA

Active since February 15, 2024
5345 FAIRFIELD BLVD, VIRGINIA BEACH, VA 23464(757) 633-3662 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southeast Virginia Psychiatry Pllc NPPES

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

SOUTHEAST VIRGINIA PSYCHIATRY PLLC (NPI 1245095512) is a healthcare organization registered as a psychiatric/mental health in Virginia Beach, Virginia and active in the NPI registry since February 2024. The organization lists Edward James Evard, Owner, as its authorized official.

NPPES Registry Identity

NPI1245095512
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTHEAST VIRGINIA PSYCHIATRY PLLC
Location Address5345 FAIRFIELD BLVDVirginia Beach, VA 23464-2509
Mailing Address5345 Fairfield BlvdVirginia Beach, VA 23464-2509 · (757) 633-3662
Phone(757) 633-3662
Organization SubpartNo
Authorized OfficialEdward James EvardOwner · (757) 633-3662
Enumeration DateFebruary 15, 2024
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1245095512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
5345 FAIRFIELD BLVD, Virginia Beach, VA 23464
Open in Google Maps ↗

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)

Southeast Virginia Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Southeast Virginia Psychiatry PLLC, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker5
Nurse Practitioner4
Psychiatry2
Mental Health Counselor1

Clinicians, nearest first (12)

Edward Evard, PMHNP
Nurse Practitioner
NPI 1396344693
260 GRAYSON RD
Virginia Beach, VA 23462
(757) 497-3670
✔ PECOS✔ Accepts Medicare1.0 mi
Cameron Owens, MSN, APRN, PMHNP-BC
Nurse Practitioner
NPI 1609758911
400 N CENTER DR STE 100
Norfolk, VA 23502
(759) 908-3754
✔ PECOS✔ Accepts Medicare1.7 mi
Lorrie Sartore, DO
Psychiatry
NPI 1639828973
400 N CENTER DR STE 100
Norfolk, VA 23502
(757) 908-3754
✔ PECOS✔ Accepts Medicare1.7 mi
Tashia Smith, LCSW
Clinical Social Worker
NPI 1497888556
400 N CENTER DR STE 100
Norfolk, VA 23502
(757) 908-3754
✔ PECOS✔ Accepts Medicare1.7 mi
Jasen Eberz, LCSW
Clinical Social Worker
NPI 1538667258
400 N CENTER DR STE 100
Norfolk, VA 23502
(757) 908-3754
✔ PECOS✔ Accepts Medicare1.7 mi
Sayward Mccullough, NP
Nurse Practitioner
NPI 1275158792
400 N CENTER DR STE 100
Norfolk, VA 23502
(757) 908-3754
✔ PECOS✔ Accepts Medicare1.7 mi
April Schlau
Clinical Social Worker
NPI 1639934268
4560 SOUTH BLVD STE 202
Virginia Beach, VA 23452
(757) 340-6100
✔ PECOS✔ Accepts Medicare2.1 mi
Heather Deschaine
Mental Health Counselor
NPI 1154076966
101 N LYNNHAVEN RD
Virginia Beach, VA 23452
(757) 321-0795
✔ PECOS✔ Accepts Medicare5.8 mi
Amelia Shaw, LCSW
Clinical Social Worker
NPI 1083293278
2241B POWHATAN AVE
Virginia Beach, VA 23455
(757) 374-4410
✔ PECOS✔ Accepts Medicare6.9 mi
Sarah Shrader, PMHNP
Nurse Practitioner
NPI 1467157818
2200 COLONIAL AVE STE 12
Norfolk, VA 23517
(757) 937-5780
✔ PECOS✔ Accepts Medicare7.3 mi
Geranameo Bullock, M.D.
Psychiatry
NPI 1275821340
308 GEORGE WASHINGTON HWY N STE 2
Chesapeake, VA 23323
(347) 794-3761
✔ PECOS✔ Accepts Medicare12 mi
Joleen Kim, LCSW INTERN
Clinical Social Worker
NPI 1629583117
249 E TABERNACLE ST STE 100
St George, UT 84770
(435) 705-7574
✔ PECOS✔ Accepts Medicare2,057 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 Southeast Virginia Psychiatry PLLC's NPI number?

The NPI number for Southeast Virginia Psychiatry PLLC is 1245095512. It was assigned to this organization in the NPPES registry on February 15, 2024.

Where is Southeast Virginia Psychiatry PLLC located?

Southeast Virginia Psychiatry PLLC is located at 5345 Fairfield Blvd, Virginia Beach, VA 23464. The listed phone number is (757) 633-3662.

What is Southeast Virginia Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Southeast Virginia Psychiatry PLLC enrolled in Medicare?

Yes. Southeast Virginia Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Virginia Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Southeast Virginia Psychiatry PLLC. 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 Clinical Social Worker (5), Nurse Practitioner (4) and Psychiatry (2). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeast Virginia Psychiatry PLLC was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.