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PETERSBURG CLINIC COMPANY LLC
NPI 1881643617
Family Medicine in Petersburg, VA

Active since May 09, 2006
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805(804) 765-5991 Get Directions Write a Review

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Petersburg Clinic Company Llc NPPES

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

PETERSBURG CLINIC COMPANY LLC (NPI 1881643617) is a healthcare organization registered as a family medicine in Petersburg, Virginia and active in the NPI registry since May 2006. The organization lists Debbie Brewer, Director, as its authorized official.

NPPES Registry Identity

NPI1881643617
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePETERSBURG CLINIC COMPANY LLC
Location Address200 MEDICAL PARK BLVDPetersburg, VA 23805-9274
Mailing AddressPo Box 689022Franklin, TN 37068-9022
Phone(804) 765-5991
Organization SubpartNo
Authorized OfficialDebbie BrewerDirector · (877) 892-9813
Enumeration DateMay 9, 2006
Last NPPES UpdateJune 30, 2011
✔ NPI 1881643617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
200 MEDICAL PARK BLVD, Petersburg, VA 23805
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Other Identifiers 2

Medicare PINC09480VA
Medicare ID-Type UnspecifiedC09480VA

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.

SARAH LIGHT
Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
DOUGLAS COHRS PA-C
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (703) 431-9975
SUDHA KODURU M.D.
Internal Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5991
BRIAN WAYNE MCCAULEY PA-C
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
DR. MICHAEL W CIESLINSKI M.D.
Emergency Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
DR. BENJAMIN ROSS QUIGLEY MD
Emergency Medicine
200 MEDICAL PARK BLVD, EMERGENCY DEPARTMENT
PETESBURG, VA 23805
Petersburg City (804) 765-5000
MARIBEL K ABENIR CRNA-NP
Nurse Anesthetist, Certified Registered
200 MEDICAL PARK BLVD, SOUTHSIDE REGIONAL MEDICAL CENTER
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
JULIANA NAW
Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000

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 Petersburg Clinic Company LLC's NPI number?

The NPI number for Petersburg Clinic Company LLC is 1881643617. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Petersburg Clinic Company LLC located?

Petersburg Clinic Company LLC is located at 200 Medical Park Blvd, Petersburg, VA 23805. The listed phone number is (804) 765-5991.

What is Petersburg Clinic Company LLC'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 Petersburg Clinic Company LLC was last updated on June 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.