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PHOENIX MEDICAL GROUP PLLC
NPI 1730834326
Nurse Practitioner - Psychiatric/Mental Health in Glen Allen, VA

Active since February 13, 2022
11357 NUCKOLS RD # 2091, GLEN ALLEN, VA 23059(804) 624-9917(804) 729-5887 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2026, Aug 8, 2025, May 6, 2024 and 1 more (4 updates tracked since 2022).

About Phoenix Medical Group Pllc NPPES

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

PHOENIX MEDICAL GROUP PLLC (NPI 1730834326) is a healthcare organization registered as a psychiatric/mental health in Glen Allen, Virginia and active in the NPI registry since February 2022. The organization lists Deborah Crutchfield, Owner, as its authorized official.

NPPES Registry Identity

NPI1730834326
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePHOENIX MEDICAL GROUP PLLC
Location Address11357 NUCKOLS RD # 2091Glen Allen, VA 23059-5504
Mailing Address11357 Nuckols Rd # 2091Glen Allen, VA 23059-5504 · (804) 965-4327 · Fax (804) 729-5887
Phone(804) 624-9917
Fax(804) 729-5887
Organization SubpartNo
Authorized OfficialDeborah CrutchfieldOwner · (804) 965-4327
Enumeration DateFebruary 13, 2022
Last NPPES UpdateMay 12, 20264 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1730834326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
11357 NUCKOLS RD # 2091, Glen Allen, VA 23059
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DEBORAH CRUTCHFIELD NP
Nurse Practitioner (Psychiatric/Mental Health)
11357 NUCKOLS RD # 2091
GLEN ALLEN, VA 23059
Hanover County (804) 965-4327

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 Phoenix Medical Group PLLC's NPI number?

The NPI number for Phoenix Medical Group PLLC is 1730834326. It was assigned to this organization in the NPPES registry on February 13, 2022.

Where is Phoenix Medical Group PLLC located?

Phoenix Medical Group PLLC is located at 11357 Nuckols Rd # 2091, Glen Allen, VA 23059. The listed phone number is (804) 624-9917.

What is Phoenix Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Phoenix Medical Group PLLC was last updated on May 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.