Organization Active NPI

Crown and Soul Primary Care and Wellness Center

  • Primary Care Clinic/Center
  • Williamsburg, VA
National Provider Identifier
1003545997
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CROWN AND SOUL PRIMARY CARE AND WELLNESS CENTER
Practice address
7151 Richmond Rd
Williamsburg, VA 23188-7234
Phone
(757) 561-8014
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Nicholas Michael Morgan, FNPNPI 1588248074
Title
Ceo
Phone
(757) 561-8014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7151 Richmond Rd
Williamsburg, VA 23188-7234

Mailing address

3515 Winslow CT
Toano, VA 23168-9358
Phone (757) 561-8014

National Provider Directory

National Provider Directory

Locations

7151 Richmond Rd
Williamsburg, VA 23188
Phone (757) 258-7778

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27189/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1003545997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 WINSLOW CT",
            "city": "TOANO",
            "state": "VA",
            "postal_code": "231689358",
            "telephone_number": "757-561-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 RICHMOND RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887234",
            "telephone_number": "757-561-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN AND SOUL PRIMARY CARE AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-561-8014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.