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MASTER CENTER FOR ADDICTION MEDICINE
NPI 1477091247
Internal Medicine - Addiction Medicine in Glen Allen, VA

Active since February 01, 2017CLIA Certified · 6 labs
4212 PARK PLACE CT, GLEN ALLEN, VA 23060(804) 332-5950(804) 728-1086 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2021, Aug 13, 2020, Feb 1, 2017 (3 updates tracked since 2017).

About Master Center For Addiction Medicine NPPES

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

MASTER CENTER FOR ADDICTION MEDICINE (NPI 1477091247) is a healthcare organization registered as an addiction medicine in Glen Allen, Virginia and active in the NPI registry since February 2017. The organization holds 6 active CLIA laboratory certificates, maintains a secondary practice location in Gloucester, and lists James Edward Thompson, Cmo, as its authorized official.

NPPES Registry Identity

NPI1477091247
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameVIRGINIA CENTER FOR ADDICTION MEDICINE
Location Address4212 PARK PLACE CTGlen Allen, VA 23060-3314
Mailing Address4212 Park Place CtGlen Allen, VA 23060-3314 · (804) 332-5950 · Fax (804) 728-1086
Phone(804) 332-5950
Fax(804) 728-1086
Organization SubpartNo
Authorized OfficialJames Edward ThompsonCmo · (804) 332-5950
Enumeration DateFebruary 1, 2017
Last NPPES UpdateJanuary 4, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
✔ NPI 1477091247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in VA · 0101246355
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 0101015030 (VA)
4212 PARK PLACE CT, Glen Allen, VA 23060
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Other Names 1

Doing Business AsMaster Center For Addiction Medicine

Secondary Practice Location 1

Location 17280 York AveGloucester, VA 23061-5181 · Phone (804) 332-5950 · Fax (804) 728-1086

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 6

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 49D2091209

Virginia Center For Addiction Medicine · Glen Allen, VA
Active · expires Feb 8, 2027
CLIA Number49D2091209
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorJames E. Thompson
Laboratory Phone(804) 332-5950
Laboratory LocationVirginia Center For Addiction Medicine4212 Park Place Court, 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 of Waiver 49D2338443

Master Center For Addiction Medicine · Kilmarnock, VA
Active · expires Feb 10, 2028
CLIA Number49D2338443
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorJames Thompson
Laboratory Phone(804) 332-5950
Laboratory LocationMaster Center For Addiction Medicine95 Harris Rd, Bldg 6, Kilmarnock, VA 22482
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2271450

Master Center For Addiction Medicine · North Chesterfield, VA
Active · expires Nov 1, 2026
CLIA Number49D2271450
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorJames Thompson
Laboratory Phone(804) 332-5950
Laboratory LocationMaster Center For Addiction Medicine2505 Pocoshock Place, Suite 101, North Chesterfield, VA 23235
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2309221

Master Center For Addiction Medicine · Tappahannock, VA
Active · expires Aug 11, 2026
CLIA Number49D2309221
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorJames Thompson
Laboratory Phone(804) 332-5950
Laboratory LocationMaster Center For Addiction Medicine289 Hospital Road, Tappahannock, VA 22560
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2309222

Master Center For Addiction Medicine · Harrisonburg, VA
Active · expires Aug 11, 2026
CLIA Number49D2309222
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorJames Thompson
Laboratory Phone(804) 332-5950
Laboratory LocationMaster Center For Addiction Medicine136 W Elizabeth St, Harrisonburg, VA 22802
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2309223

Master Center For Addiction Medicine · Norfolk, VA
Active · expires Aug 11, 2026
CLIA Number49D2309223
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorJames Thompson
Laboratory Phone(804) 332-5950
Laboratory LocationMaster Center For Addiction Medicine701 South Main St, Suite 100A, Norfolk, VA 23523
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

KATHERINE LOUISE HASKINS LPC, NCC
Counselor (Professional)
4212 PARK PLACE CT
GLEN ALLEN, VA 23060
Henrico County (804) 315-3135
DR. KIRA MARIE BLEECHER M.D.
Psychiatry & Neurology (Psychiatry)
4212 PARK PLACE CT
GLEN ALLEN, VA 23060
Henrico County (804) 332-5950
MARCI LYNN WAGGONER NP
Nurse Practitioner (Adult Health)
4212 PARK PLACE CT
GLEN ALLEN, VA 23060
Henrico County (804) 332-5950
JAMES EDWARD THOMPSON MD
Internal Medicine
4212 PARK PLACE CT
GLEN ALLEN, VA 23060
Henrico County (804) 332-5950
JUSTIN JACKSON LPC
Counselor (Professional)
4212 PARK PLACE CT
GLEN ALLEN, VA 23060
Henrico County (804) 332-5950
MELODY L IRBY PA-C
Physician Assistant (Medical)
4212 PARK PLACE CT
GLEN ALLEN, VA 23060
Henrico County (804) 332-5950
MARY ELIZABETH BOWMAN ACNP-BC
Nurse Practitioner (Acute Care)
4212 PARK PLACE CT
GLEN ALLEN, VA 23060
Henrico County (804) 332-5950
BRITTANY ILAGAN HALL AGNP-C
Nurse Practitioner (Primary Care)
4212 PARK PLACE CT
GLEN ALLEN, VA 23060
Henrico County (804) 332-5950

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 Virginia Center For Addiction Medicine's NPI number?

The NPI number for Virginia Center For Addiction Medicine is 1477091247. It was assigned to this organization in the NPPES registry on February 1, 2017. The provider is doing business as Master Center For Addiction Medicine.

Where is Virginia Center For Addiction Medicine located?

Virginia Center For Addiction Medicine is located at 4212 Park Place Ct, Glen Allen, VA 23060. The listed phone number is (804) 332-5950.

What is Virginia Center For Addiction Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Does Virginia Center For Addiction Medicine hold CLIA laboratory certificates?

Yes. 6 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 Virginia Center For Addiction Medicine was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.