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CENTERWELL SENIOR PRIMARY CARE-TWIN HICKORY
NPI 1912786054
Internal Medicine in Glen Allen, VA

Active since September 27, 2023
5310 TWIN HICKORY RD STE A, GLEN ALLEN, VA 23059(042) 730-0108(804) 273-0049 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 19, 2024, Nov 2, 2023 (2 updates tracked since 2023).

About Centerwell Senior Primary Care-twin Hickory NPPES

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

CENTERWELL SENIOR PRIMARY CARE-TWIN HICKORY (NPI 1912786054) is a healthcare organization registered as an internal medicine in Glen Allen, Virginia and active in the NPI registry since September 2023. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1912786054
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE VA PLLC
Location Address5310 TWIN HICKORY RD STE AGlen Allen, VA 23059-5783
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(042) 730-0108
Fax(804) 273-0049
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateSeptember 27, 2023
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1912786054 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
5310 TWIN HICKORY RD STE A, Glen Allen, VA 23059
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Other Names 2

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

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

Other Providers at the Same Location NPPES

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

BEHAVIORAL MEDICINE OF VIRGINIA INC
Psychiatry & Neurology (Psychiatry)
5310 TWIN HICKORY RD STE A
GLEN ALLEN, VA 23059
Hanover County (703) 891-4354

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 1912786054. It was assigned to this organization in the NPPES registry on September 27, 2023. The provider is doing business as Centerwell Senior Primary Care-Twin Hickory. 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 5310 Twin Hickory Rd Ste A, Glen Allen, VA 23059. The listed phone number is (042) 730-0108.

What is Centerwell Senior Primary Care VA PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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.