1. Home
  2. Directory
  3. Virginia
  4. Portsmouth
  5. Internal Medicine
  6. NPI Profile

CENTERWELL SENIOR PRIMARY CARE VA PLLC
NPI 1831963842
Internal Medicine in Portsmouth, VA

Active since November 09, 2023CLIA 49D2304658 · Waiver
1817 FREDERICK BLVD, PORTSMOUTH, VA 23707(757) 695-5181(877) 976-4063 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Nov 9, 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 1831963842), doing business as Centerwell Senior Primary Care Va Pc, is a healthcare organization registered as an internal medicine in Portsmouth, 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

NPI1831963842
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE VA PLLC
Location Address1817 FREDERICK BLVDPortsmouth, VA 23707
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(757) 695-5181
Fax(877) 976-4063
Organization SubpartYes
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 1831963842 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
1817 FREDERICK BLVD, Portsmouth, VA 23707
Open in Google Maps ↗

Other Names 2

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

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 49D2304658

Centerwell Senior Primary Care Portsmouth · Portsmouth, VA
Active · expires May 15, 2028
CLIA Number49D2304658
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorErica L. Savage-Jeter
Laboratory Phone(757) 695-5181
Laboratory LocationCenterwell Senior Primary Care Portsmouth1817 Frederick Blvd, Portsmouth, VA 23707
CLIA data matches this NPI record on: Address 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.

MRS. ANN H DAVIS M.D
Family Medicine
1817 FREDERICK BLVD
PORTSMOUTH, VA 23707
Portsmouth City (757) 695-5181

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 1831963842. It was assigned to this organization in the NPPES registry on November 9, 2023. The provider is doing business as CenterWell Senior Primary Care-Portsmouth. 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 1817 Frederick Blvd, Portsmouth, VA 23707. The listed phone number is (757) 695-5181.

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 49D2304658) 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 23 months 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.