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MINORITY AIDS SUPPORT SERVICES INC
NPI 1619660883
General Practice in Newport News, VA

Active since June 01, 2023CLIA 49D2040734 · Waiver
247 28TH ST STE 100, NEWPORT NEWS, VA 23607(757) 586-5243 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Minority Aids Support Services Inc NPPES

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

MINORITY AIDS SUPPORT SERVICES INC (NPI 1619660883) is a healthcare organization registered as a general practice in Newport News, Virginia and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Gwendolyn Ellis-wilson, Manager/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1619660883
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMINORITY AIDS SUPPORT SERVICES INC
Location Address247 28TH ST STE 100Newport News, VA 23607-3907
Mailing Address2715 Huntington AveNewport News, VA 23607-3913 · (757) 240-4363
Phone(757) 586-5243
Organization SubpartNo
Authorized OfficialGwendolyn Ellis-wilsonManager/authorized Official · (757) 586-5243
Enumeration DateJune 1, 2023
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1619660883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
247 28TH ST STE 100, Newport News, VA 23607
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minority Aids Support Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Minority Aids Support Services Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alex Taylor, M.D.
Family Practice
NPI 1881654192
930 MAJESTIC AVE SUITE 210
Norfolk, VA 23504
(757) 622-0453
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 49D2040734

Minority Aids Support Services, Inc · Newport News, VA
Active · expires May 8, 2028
CLIA Number49D2040734
Laboratory TypeAids Service Organization
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorGwendolyn R. Ellis Wilson
Laboratory Phone(757) 247-1879
Laboratory LocationMinority Aids Support Services, Inc247 28th Street, Suite 100, Newport News, VA 23607
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Minority Aids Support Services Inc's NPI number?

The NPI number for Minority Aids Support Services Inc is 1619660883. It was assigned to this organization in the NPPES registry on June 1, 2023.

Where is Minority Aids Support Services Inc located?

Minority Aids Support Services Inc is located at 247 28th St Ste 100, Newport News, VA 23607. The listed phone number is (757) 586-5243.

What is Minority Aids Support Services Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Minority Aids Support Services Inc enrolled in Medicare?

Yes. Minority Aids Support Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minority Aids Support Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Minority Aids Support Services Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Minority Aids Support Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2040734) is associated with this NPI, valid through May 8, 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 Minority Aids Support Services Inc was last updated on December 21, 2023. 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.