SPORA MEDICAL, PC.
NPI 1861013583
Clinic/Center - Primary Care in Virginia Beach, VA

Q: What is Spora Medical, PC.'s NPI number?

The NPI number for Spora Medical, PC. is 1861013583. It was assigned to this organization in the NPPES registry on May 5, 2020.

Q: What is Spora Medical, PC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 05, 2020

4445 CORPORATION LN STE 264, VIRGINIA BEACH, VA 23462(773) 389-1899 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2022, Feb 1, 2022, May 5, 2020 (3 updates tracked since 2020).

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About Spora Medical, Pc. NPPES

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

SPORA MEDICAL, PC. (NPI 1861013583) is a healthcare organization registered as a primary care in Virginia Beach, Virginia and active in the NPI registry since May 2020. The organization maintains 5 additional practice locations and lists Lakisa Davis, Com, as its authorized official.

NPPES Registry Identity

NPI1861013583

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSPORA MEDICAL, PC.

Location Address4445 CORPORATION LN STE 264Virginia Beach, VA 23462-3262

Mailing Address4445 Corporation Ln Ste 264Virginia Beach, VA 23462-3262 · (773) 389-1899

Phone(773) 389-1899

Organization SubpartYesParent: Spora Health, Inc.

Authorized OfficialLakisa DavisCom · (773) 389-1899

Enumeration DateMay 5, 2020

Last NPPES UpdateJune 8, 20223 updates tracked since enumeration

NPPES CertifiedJune 8, 2022

✔ NPI 1861013583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

Also ListedDoulaTaxonomy 374J00000X

4445 CORPORATION LN STE 264, Virginia Beach, VA 23462

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Secondary Practice Locations 5

Location 19234 Kingston PikeKnoxville, TN 37922-2380 · Phone (773) 389-1899 · Fax (773) 466-9777

Location 29456 State Rd Ste 11-V490Philadelphia, PA 19114-3079 · Phone (773) 389-1899 · Fax (773) 466-9777

Location 3750 N Saint Paul St Ste 250Dallas, TX 75201-3206 · Phone (773) 389-1899 · Fax (773) 466-9777

Location 4382 NE 191st StMiami, FL 33179-3899 · Phone (773) 389-1899 · Fax (773) 466-9777

Location 5548 Market StSan Francisco, CA 94104-5401 · Phone (773) 389-1899 · Fax (773) 466-9777

Other Identifiers 2

Other1346993029Npi

Other1922695949Npi

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

KAYSIERA FELICIA WILLIAMS POLLARD

Technician