SENTARA COMMUNITY CARE CENTER
NPI 1437864709
Family Medicine in Glen Allen, VA

Active since January 20, 2023CLIA Certified · 2 labs
10800 NUCKOLS RD, GLEN ALLEN, VA 23060(804) 613-3940(757) 440-3277 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Jan 20, 2023 (2 updates tracked since 2023).

About Sentara Community Care Center NPPES

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

SENTARA COMMUNITY CARE CENTER (NPI 1437864709) is a healthcare organization registered as a family medicine in Glen Allen, Virginia and active in the NPI registry since January 2023. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Doris Prince, Director, as its authorized official.

NPPES Registry Identity

NPI1437864709
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOPTIMA HEALTH PLAN
Location Address10800 NUCKOLS RDGlen Allen, VA 23060-6207
Mailing Address10800 Nuckols RdGlen Allen, VA 23060-6207 · (804) 613-3940 · Fax (757) 440-3277
Fax(757) 440-3277
Organization SubpartNo
Authorized OfficialDoris PrinceDirector · (175) 798-3547
Enumeration DateJanuary 20, 2023
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
NPI 1437864709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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 ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
10800 NUCKOLS RD, Glen Allen, VA 23060

Other Names 1

Doing Business AsSentara Community Care Center

Secondary Practice Locations 3

Location 1913 N 1st StRichmond, VA 23219-1001 · Phone (804) 613-3940 · Fax (757) 440-3277
Location 29701 Route 1North Chesterfield, VA 23237-4666 · Phone (804) 613-3940 · Fax (757) 440-3277
Location 35700 Route 1North Chesterfield, VA 23234-2246 · Phone (804) 613-3940 · Fax (757) 440-3277

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 of Waiver 49D2277620

Sentara Community Care Center Mobile Bus Richmond · Glen Allen, VA
Active · expires Mar 1, 2027
CLIA Number49D2277620
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorVanessa Fowlkes
Laboratory Phone(804) 613-3940
Laboratory LocationSentara Community Care Center Mobile Bus Richmond10800 Nuckols Rd, Glen Allen, VA 23060
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D2299505

Sentara Community Care Center-Henrico · Richmond, VA
Active · expires Dec 9, 2026
CLIA Number49D2299505
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorVanessa Fowlkes
Laboratory Phone(757) 222-9285
Laboratory LocationSentara Community Care Center-Henrico5116 Richmond Henrico Turnpike, Richmond, VA 23227
CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
10800 NUCKOLS RD
GLEN ALLEN, VA 23060

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 Optima Health Plan's NPI number?

The NPI number for Optima Health Plan is 1437864709. It was assigned to this organization in the NPPES registry on January 20, 2023. The provider is doing business as Sentara Community Care Center.

Where is Optima Health Plan located?

Optima Health Plan is located at 10800 Nuckols Rd, Glen Allen, VA 23060. The listed phone number is (804) 613-3940.

What is Optima Health Plan's specialty?

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

Does Optima Health Plan hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Optima Health Plan was last updated on January 31, 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.