SPORA MEDICAL, PC.
NPI 1922695949
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 1922695949. It was assigned to this organization in the NPPES registry on December 23, 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 December 23, 2020

4445 CORPORATION LN STE 264, VIRGINIA BEACH, VA 23462(773) 389-1899(773) 466-9777 Get Directions Write a Review

NPPES record last updated: June 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2022, Feb 18, 2022, Feb 11, 2022 and 2 more (5 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 1922695949) is a healthcare organization registered as a primary care in Virginia Beach, Virginia and active in the NPI registry since December 2020. The organization maintains 5 additional practice locations and lists Lakisa Davis, Com, as its authorized official.

NPPES Registry Identity

NPI1922695949

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 · Fax (773) 466-9777

Phone(773) 389-1899

Fax(773) 466-9777

Organization SubpartNo

Authorized OfficialLakisa DavisCom · (773) 389-1899

Enumeration DateDecember 23, 2020

Last NPPES UpdateJune 11, 20225 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2022

✔ NPI 1922695949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

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 1382 NE 191st StMiami, FL 33179-3899 · Phone (773) 389-1899 · Fax (773) 466-9777

Location 2400 S 4th St Ste 410Minneapolis, MN 55415-1419 · Phone (773) 389-8999 · Fax (773) 466-9777

Location 39456 State Rd Ste 11-V490Philadelphia, PA 19114-3079 · Phone (773) 389-8999 · Fax (773) 466-9777

Location 49234 Kingston PikeKnoxville, TN 37922-2380 · Phone (773) 389-8999 · Fax (773) 466-9777

Location 5750 N Saint Paul St Ste 250Dallas, TX 75201-3206 · Phone (773) 389-8999 · Fax (773) 466-9777

Other Identifiers 1

Other1922695949Npi

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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