| Stallings Group | |
|
1100 First Colonial Rd Virginia Beach VA 23454-2403 | |
| (757) 366-3100 | |
| (757) 366-9474 |
| Full Name | Stallings Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 First Colonial Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Raleigh Hamilton (PRESIDENT) |
| Authorized Official Contact | 7573663100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stallings Group 2876 Guardian Ln Virginia Beach VA 23452-7327 Ph: (757) 463-5240 | Stallings Group 1100 First Colonial Rd Virginia Beach VA 23454-2403 Ph: (757) 366-3100 |
| NPI Number | 1851490593 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 02/13/2014 |
| Medicare PECOS PAC ID | 7012803281 |
|---|---|
| Medicare Enrollment ID | O20040225000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851490593 | NPI | - | NPPES |
| 074438 | Other | VA | HEALTHKEEPERS |
| 0490999 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas M Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639187354 PECOS PAC ID: 7113975467 Enrollment ID: I20050104000553 |
| Provider Name | Mark G Clarke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346225695 PECOS PAC ID: 0749238012 Enrollment ID: I20050104000707 |
| Provider Name | David Shulmister |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427080324 PECOS PAC ID: 7810890217 Enrollment ID: I20071106000426 |
| Provider Name | William J Charlton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609884311 PECOS PAC ID: 4789711920 Enrollment ID: I20100420001038 |
| Provider Name | Taylor A Attar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063049732 PECOS PAC ID: 1254753155 Enrollment ID: I20230807004025 |
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