Primary Health Group Inc | |
13861 Hull Street Rd Midlothian VA 23112-2091 | |
(804) 739-0910 | |
Not Available |
Full Name | Primary Health Group Inc |
---|---|
Speciality | Family Medicine |
Location | 13861 Hull Street Rd, Midlothian, Virginia |
Authorized Official Name and Position | Louis Joseph (VP) |
Authorized Official Contact | 6153737630 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Primary Health Group Inc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7600 | Primary Health Group Inc 13861 Hull Street Rd Midlothian VA 23112-2091 Ph: (804) 739-0910 |
NPI Number | 1578504452 |
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Provider Enumeration Date | 06/09/2006 |
Last Update Date | 01/02/2023 |
Medicare PECOS PAC ID | 3577465202 |
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Medicare Enrollment ID | O20040123000184 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578504452 | NPI | - | NPPES |
CA2793 | Other | VA | RAILROAD MEDICARE |
1578504452 | Other | VA | NPI |
1578504452 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Angela D Middleton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023177052 PECOS PAC ID: 9638108566 Enrollment ID: I20050810000830 |
Provider Name | Thomas H Veech |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710917745 PECOS PAC ID: 1850317397 Enrollment ID: I20051024000478 |
Provider Name | Mary M Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588856629 PECOS PAC ID: 4880782960 Enrollment ID: I20071127000234 |
Provider Name | Robert E Mayfield |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528010097 PECOS PAC ID: 3274618483 Enrollment ID: I20080312000503 |
Provider Name | Kausalya Pendyal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831188119 PECOS PAC ID: 0244287852 Enrollment ID: I20080611000711 |
Provider Name | Bogale Jima |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922093806 PECOS PAC ID: 0941368054 Enrollment ID: I20081018000025 |
Provider Name | John A Clay |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093905994 PECOS PAC ID: 4789748807 Enrollment ID: I20090203000767 |
Provider Name | Joseph A James |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1699761221 PECOS PAC ID: 2365577459 Enrollment ID: I20100315000459 |
Provider Name | Robert D Cross |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659366367 PECOS PAC ID: 4082749973 Enrollment ID: I20100317000536 |
Provider Name | Mary Colleen C Millage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588992200 PECOS PAC ID: 4789712126 Enrollment ID: I20100505001084 |
Provider Name | David M Neifeld |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376554972 PECOS PAC ID: 5799814133 Enrollment ID: I20100524000790 |
Provider Name | George G Wedd |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376538322 PECOS PAC ID: 8224161534 Enrollment ID: I20100805001012 |
Provider Name | Sara M Breeden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093700056 PECOS PAC ID: 4688708118 Enrollment ID: I20100818001220 |
Provider Name | Jerome M Daniel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790770329 PECOS PAC ID: 3072780675 Enrollment ID: I20120123000725 |
Provider Name | Jean M Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447328604 PECOS PAC ID: 4183940042 Enrollment ID: I20150311002806 |
Provider Name | Jason M Fish |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548286206 PECOS PAC ID: 4688604838 Enrollment ID: I20160128001610 |
Provider Name | Caroline L Blevins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295115020 PECOS PAC ID: 8224344502 Enrollment ID: I20181115002553 |
Provider Name | Joseph F Wood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982180261 PECOS PAC ID: 1658625108 Enrollment ID: I20181119003007 |
Provider Name | Ausma Memon Farooq |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265805410 PECOS PAC ID: 1850697574 Enrollment ID: I20181226001618 |
Provider Name | Sean Jenkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508246653 PECOS PAC ID: 9739479122 Enrollment ID: I20190103002906 |
Provider Name | Dandan Li |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720366917 PECOS PAC ID: 3678793866 Enrollment ID: I20190625003372 |
Provider Name | Jennifer Nicole Clarke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134756802 PECOS PAC ID: 1850722596 Enrollment ID: I20200512002902 |
Provider Name | Kenjilyn Uchida Ares |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932708971 PECOS PAC ID: 8820403025 Enrollment ID: I20210222001547 |
Provider Name | Jayme Holmes Kunkel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700485943 PECOS PAC ID: 1456757087 Enrollment ID: I20210908001086 |
Provider Name | Emily Jolly Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720751159 PECOS PAC ID: 0749678662 Enrollment ID: I20211026003270 |
Provider Name | Morgan P Zimmerlee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093471336 PECOS PAC ID: 1658763362 Enrollment ID: I20220110000105 |
Provider Name | Avilasha Jha |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518463165 PECOS PAC ID: 6204187651 Enrollment ID: I20220126001097 |
Provider Name | Whitney Taylor-bousquet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558046128 PECOS PAC ID: 4789027723 Enrollment ID: I20240207001330 |
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