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SENTARA FAMILY MEDICINE PHYSICIANS
NPI 1376660951
Family Medicine in Suffolk, VA

Active since March 26, 2007CLIA Certified · 2 labs
3920 BRIDGE RD, BLDG. A, STE. 207, SUFFOLK, VA 23435(757) 932-2200(757) 983-2201 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sentara Family Medicine Physicians NPPES

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

SENTARA FAMILY MEDICINE PHYSICIANS (NPI 1376660951) is a healthcare organization registered as a family medicine in Suffolk, Virginia and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Cindy A Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1376660951
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSENTARA MEDICAL GROUP
Location Address3920 BRIDGE RD, BLDG. A, STE. 207Suffolk, VA 23435-1117
Mailing Address3920 Bridge Rd, Bldg. A, Ste. 207Suffolk, VA 23435-1117 · (757) 932-2200 · Fax (757) 983-2201
Phone(757) 932-2200
Fax(757) 983-2201
Organization SubpartNo
Authorized OfficialCindy A TaylorManager · (757) 252-3344
Enumeration DateMarch 26, 2007
Last NPPES UpdateNovember 29, 2011
✔ NPI 1376660951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
3920 BRIDGE RD, Suffolk, VA 23435
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Other Names 1

Doing Business AsSentara Family Medicine Physicians

Other Identifiers 1

Medicare NSC0597050050VA

CLIA Laboratory Certificates CMS CLIA 2

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) 49D0903749

Sentara Family Medicine Physicians - Belle Harbour · Suffolk, VA
Active · expires Jan 23, 2028
CLIA Number49D0903749
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorJames Waddy, MD
Laboratory Phone(757) 983-2200
Laboratory LocationSentara Family Medicine Physicians - Belle Harbour3920 Bridge Road, Builidng A - Suite 207, Suffolk, VA 23435
CLIA data matches this NPI record on: Address Name
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.

Certificate of Waiver 49D0228552

Sentara Family Medicine Physicians & Walk In Suffolk · Suffolk, VA
Active · expires Jun 1, 2027
CLIA Number49D0228552
Laboratory TypeIndustrial
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorLindsey Vaughn
Laboratory Phone(757) 983-8650
Laboratory LocationSentara Family Medicine Physicians & Walk In Suffolk2760 Godwin Blvd Suite 100, Suffolk, VA 23434
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENA R HALL MD
Family Medicine
3920 BRIDGE RD, BLDG A STE 207
SUFFOLK, VA 23435
Suffolk City (757) 983-2240
SENTARA MEDICAL GROUP
Surgery (Vascular Surgery)
3920 BRIDGE RD, STE 202
SUFFOLK, VA 23435
Suffolk City (757) 395-1600
LYNNE MAKA PA
Physician Assistant
3920 BRIDGE RD
SUFFOLK, VA 23435
Suffolk City (757) 983-0040
MRS. ANGELA BOWERS MABALOT PT, DPT
Physical Therapist
3920 BRIDGE RD
SUFFOLK, VA 23435
Suffolk City (757) 983-0025
DR. PRASHANTHI BORA KODURI M.D.
Family Medicine
3920 BRIDGE RD, BLDG A, STE. 207
SUFFOLK, VA 23435
Suffolk City (757) 983-2200

Frequently Asked Questions

What is SENTARA MEDICAL GROUP's NPI number?

The NPI number assigned to this healthcare provider is 1376660951, enumerated as an "organization" on March 26, 2007.

Where is the provider located?

The provider is located at 3920 BRIDGE RD BLDG. A, STE. 207 SUFFOLK, VA 23435 and the phone number is (757) 932-2200.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does SENTARA MEDICAL GROUP accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.