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1212MED
NPI 1982470100
Family Medicine in Richmond, VA

Active since November 29, 2023
405 E LABURNUM AVE STE 3, RICHMOND, VA 23222(540) 200-8821(540) 779-7889 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1212med NPPES

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

1212MED (NPI 1982470100) is a healthcare organization registered as a family medicine in Richmond, Virginia and active in the NPI registry since November 2023. The organization lists Henry Burgess, Owner, as its authorized official.

NPPES Registry Identity

NPI1982470100
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name1212 MED PLLC
Location Address405 E LABURNUM AVE STE 3Richmond, VA 23222-2134
Mailing Address674 Lees Gap RdFincastle, VA 24090-3869 · (540) 682-3082
Phone(540) 200-8821
Fax(540) 779-7889
Organization SubpartNo
Authorized OfficialHenry BurgessOwner · (540) 682-3082
Enumeration DateNovember 29, 2023
Last NPPES UpdateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
✔ NPI 1982470100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
405 E LABURNUM AVE STE 3, Richmond, VA 23222
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Other Names 1

Doing Business As1212med

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

KIMBERLY BURKE LCSW
Social Worker (Clinical)
405 E LABURNUM AVE STE 3
RICHMOND, VA 23222
Richmond City (804) 277-9892
THE CONFESS PROJECT OF THE SOUTHEAST
Community/Behavioral Health
405 E LABURNUM AVE STE 3
RICHMOND, VA 23222
Richmond City (501) 413-8899
DR. HENRY E BURGESS MD
Family Medicine
405 E LABURNUM AVE STE 3
RICHMOND, VA 23222
Richmond City (540) 200-8821
MRS. KATHERINE MEAGAN ST CLAIR BCBA, LBA
Behavior Analyst
405 E LABURNUM AVE STE 3
RICHMOND, VA 23222
Richmond City (732) 655-3288
TONYA A. CARTER RN
Registered Nurse
405 E LABURNUM AVE STE 3
RICHMOND, VA 23222
Richmond City (804) 638-9474
MISS DEMETRIA SANDRA JONES JM
Community/Behavioral Health
405 E LABURNUM AVE STE 3
RICHMOND, VA 23222
Richmond City (434) 604-8235
BRIGHT ACHIEVEMENTS VA LLC
Behavior Analyst
405 E LABURNUM AVE STE 3
RICHMOND, VA 23222
Richmond City (732) 655-3288
SAGE WAY THERAPY LLC
Social Worker (Clinical)
405 E LABURNUM AVE STE 3
RICHMOND, VA 23222
Richmond City (804) 277-9892

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 1212 Med PLLC's NPI number?

The NPI number for 1212 Med PLLC is 1982470100. It was assigned to this organization in the NPPES registry on November 29, 2023. The provider is doing business as 1212med.

Where is 1212 Med PLLC located?

1212 Med PLLC is located at 405 E Laburnum Ave Ste 3, Richmond, VA 23222. The listed phone number is (540) 200-8821.

What is 1212 Med PLLC'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 1212 Med PLLC was last updated on March 7, 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.