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CENTERWELL SENIOR PRIMARY CARE VA PLLC
NPI 1821798141
Internal Medicine in Henrico, VA

Active since March 06, 2023CLIA Certified · 2 labs
4722 S LABURNUM AVE, HENRICO, VA 23231(804) 604-2430(877) 471-2996 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, Mar 6, 2023 (2 updates tracked since 2023).

About Centerwell Senior Primary Care Va Pllc NPPES

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

CENTERWELL SENIOR PRIMARY CARE VA PLLC (NPI 1821798141), doing business as Centerwell Senior Primary Care Va Pc, is a healthcare organization registered as an internal medicine in Henrico, Virginia and active in the NPI registry since March 2023. The organization holds 2 active CLIA laboratory certificates and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1821798141
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE VA PLLC
Location Address4722 S LABURNUM AVEHenrico, VA 23231-2712
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(804) 604-2430
Fax(877) 471-2996
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMarch 6, 2023
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1821798141 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
4722 S LABURNUM AVE, Henrico, VA 23231
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Other Names 2

Former Legal Business NameCenterwell Senior Primary Care Va Pc
Doing Business AsCenterwell Senior Primary Care-south Laburnum

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 2

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 49D2281921

Centerwell Senior Primary Care-South Laburnum · Henrico, VA
Active · expires May 14, 2027
CLIA Number49D2281921
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorErica L. Savage-Jeter
Laboratory Phone(804) 604-2430
Laboratory LocationCenterwell Senior Primary Care-South Laburnum4722 S Laburnum Ave, Henrico, VA 23231
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 49D2286059

Centerwell Senior Primary Care-Brook Road · Richmond, VA
Active · expires Jul 23, 2027
CLIA Number49D2286059
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorErica L. Savage-Jeter
Laboratory Phone(804) 604-2430
Laboratory LocationCenterwell Senior Primary Care-Brook Road8191 Brook Road M/N, Richmond, VA 23227
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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. TUSHAR C SHAH MD
Family Medicine
4722 S LABURNUM AVE
HENRICO, VA 23231
Richmond City (804) 604-2430
ANGELIKA JOVIN M.D.
Family Medicine
4722 S LABURNUM AVE
HENRICO, VA 23231
Richmond City (804) 604-2430
JOAN D WEST FNP
Nurse Practitioner (Family)
4722 S LABURNUM AVE
HENRICO, VA 23231
Richmond City (804) 604-2430

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 1821798141. It was assigned to this organization in the NPPES registry on March 6, 2023. The provider is doing business as CenterWell Senior Primary Care-South Laburnum. 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 4722 S Laburnum Ave, Henrico, VA 23231. The listed phone number is (804) 604-2430.

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 CLIA laboratory certificates?

Yes. 2 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 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.