CENTERWELL SENIOR PRIMARY CARE-SE NEWPORT NEWS
NPI 1588438592
Internal Medicine in Newport News, VA

Q: What is Centerwell Senior Primary Care VA PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 09, 2023CLIA 49D2304659 · Waiver

3001 JEFFERSON AVE, NEWPORT NEWS, VA 23607(757) 330-5846(877) 975-7837 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2024, Nov 9, 2023 (2 updates tracked since 2023).

On this page

About Centerwell Senior Primary Care-se Newport News NPPES

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

CENTERWELL SENIOR PRIMARY CARE-SE NEWPORT NEWS (NPI 1588438592) is a healthcare organization registered as an internal medicine in Newport News, Virginia and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1588438592

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE VA PLLC

Location Address3001 JEFFERSON AVENewport News, VA 23607-3401

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000

Phone(757) 330-5846

Fax(877) 975-7837

Organization SubpartYesParent: Centerwell Senior Primary Care Va Plcc

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateNovember 9, 2023

Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1588438592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

3001 JEFFERSON AVE, Newport News, VA 23607

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Other Names 2

Doing Business AsCenterwell Senior Primary Care-se Newport News

Former Legal Business NameCenterwell Senior Primary Care Va Pc

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

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 49D2304659

Centerwell Senior Primary Care SE Newport News · Newport News, VA

Active · expires May 15, 2028

CLIA Number49D2304659

Laboratory TypePhysician Office

Certificate Effective DateMay 16, 2026

Certificate Expiration DateMay 15, 2028

Laboratory DirectorErica L. Savage-Jeter

Laboratory Phone(757) 330-5846

Laboratory LocationCenterwell Senior Primary Care SE Newport News13001 Jefferson Ave, Newport News, VA 23607

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

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

JACQUELINE L GRIFFIN FNP-C

Nurse Practitioner

3001 JEFFERSON AVE
NEWPORT NEWS, VA 23607

Newport News City (757) 330-5846

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 Centerwell Senior Primary Care VA PLLC's NPI number?

The NPI number for Centerwell Senior Primary Care VA PLLC is 1588438592. It was assigned to this organization in the NPPES registry on November 9, 2023. The provider is doing business as Centerwell Senior Primary Care-Se Newport News. The provider was formerly known as CenterWell Senior Primary Care VA PC.

Where is Centerwell Senior Primary Care VA PLLC located?

Centerwell Senior Primary Care VA PLLC is located at 3001 Jefferson Ave, Newport News, VA 23607. The listed phone number is (757) 330-5846.

What is Centerwell Senior Primary Care VA PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care VA PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2304659) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care VA PLLC was last updated on August 19, 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.