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TIDEWATER FAMILY PRACTICE, P.C.
NPI 1750462628
Family Medicine in Virginia Beach, VA

Active since October 18, 2006
4660 HAYGOOD RD, VIRGINIA BEACH, VA 23455(757) 460-0243(757) 460-1011 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tidewater Family Practice, P.c. NPPES

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

TIDEWATER FAMILY PRACTICE, P.C. (NPI 1750462628) is a healthcare organization registered as a family medicine in Virginia Beach, Virginia and active in the NPI registry since October 2006. The organization lists David Brannon Holt, Owner, as its authorized official.

NPPES Registry Identity

NPI1750462628
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIDEWATER FAMILY PRACTICE, P.C.
Location Address4660 HAYGOOD RDVirginia Beach, VA 23455-5436
Mailing Address4660 Haygood RdVirginia Beach, VA 23455-5436 · (757) 460-0243 · Fax (757) 460-1011
Phone(757) 460-0243
Fax(757) 460-1011
Organization SubpartNo
Authorized OfficialDavid Brannon HoltOwner · (757) 460-0243
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750462628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4660 HAYGOOD RD, Virginia Beach, VA 23455
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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

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 Compliance 49D0228956

Tidewater Family Practice PC · Virginia Beach, VA
Expired · Aug 15, 2026
CLIA Number49D0228956
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorDavid B. Holt
Laboratory Phone(757) 460-0243
Laboratory LocationTidewater Family Practice PC4660A Haygood Road, Virginia Beach, VA 23455
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

DR. DAVID BRANNON HOLT M.D.
Family Medicine
4660 HAYGOOD RD
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 460-0243
MS. MELINDA LORRAINE STONE FNP
Family Medicine (Adult Medicine)
4660 HAYGOOD RD
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 275-4850
MRS. PATRICIA DIANE ARBUCKLE RN, BSN, MSN, FNP-C
Nurse Practitioner (Family)
4660 HAYGOOD RD
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 460-0243

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 Tidewater Family Practice, P.C.'s NPI number?

The NPI number for Tidewater Family Practice, P.C. is 1750462628. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Tidewater Family Practice, P.C. located?

Tidewater Family Practice, P.C. is located at 4660 Haygood Rd, Virginia Beach, VA 23455. The listed phone number is (757) 460-0243.

What is Tidewater Family Practice, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Tidewater Family Practice, P.C. was last updated on August 22, 2020. 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.