Active NPI
Gerald W. Dewitt, M.D.
- Pediatrics Physician
- Arrington, VA
National Provider Identifier
1003861360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101019845
- Practice address
- 4038 Thomas Nelson Hwy
Arrington, VA 22922 - Phone
- (434) 263-4000
- Fax
- (434) 263-4160
- NPI assigned
- May 24, 2006
- Last updated
- May 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101019845 | VA | Primary |
Addresses
Primary practice location
4038 Thomas Nelson Hwy
Arrington, VA 22922
Mailing address
4038 Thomas Nelson Hwy
Arrington, VA 22922
Phone (434) 263-4000
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010123879 | Other | VA PREMIERE HELTH PLAN | |
| 4305649 | Other | AETNA TRADITIONAL | |
| 12-00465 | Other | UNITED HEALTHCARE | |
| 249647 | Other | SOUTHERN HEALTH | |
| 54-1778786 | Other | FIRST HEALTH/MAIL HANDLER | |
| 1485127009 | Other | CIGNA | |
| 54-1778786 | Other | PHCS | |
| 54-1778786-032 | Other | CHAMPUS/TRICARE | |
| 8128043 | Other | MAMSI/MDIPA | |
| 54-1778786 | Other | MID ATLANTIC HEALTH SOLUT | |
| 154019 | Other | ANTHEM | |
| 54-1778786 | Other | VA HEALTH NETWORK | |
| 54-1778786 | Other | CCN | |
| 010123879 | Medicaid | VA | |
| 2177792 | Other | AETNA HMO | |
| 53854 | Other | SENTARA/OPTIMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101019845 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1003861360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4038 THOMAS NELSON HWY",
"city": "ARRINGTON",
"state": "VA",
"postal_code": "22922",
"telephone_number": "434-263-4000",
"fax_number": "434-263-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4038 THOMAS NELSON HWY",
"city": "ARRINGTON",
"state": "VA",
"postal_code": "22922",
"telephone_number": "434-263-4000",
"fax_number": "434-263-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "GERALD",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101019845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIERE HELTH PLAN",
"identifier": "010123879",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA TRADITIONAL",
"identifier": "4305649",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "12-00465",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "249647",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/MAIL HANDLER",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1485127009",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "54-1778786-032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/MDIPA",
"identifier": "8128043",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MID ATLANTIC HEALTH SOLUT",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "154019",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA HEALTH NETWORK",
"identifier": "54-1778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "54-1778786",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010123879",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2177792",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "53854",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Arrington, VA
- Benjamin Timothy Brown, M.D.
- Kathryn Campbell Bryant, R.PH.
- Tracy J Cheatham, FNP-BC
- Commonwealth of Virginia State Board of Health (Nelson County Health Department)
- Tabatha Brittany Davis, MD
- Danae Consuelo Guerra, PA
- Rachel Faye Harris, DNP, FNP-BC
- Aniessa Holland
- Tracy Lee Lopez, DMD
- Kelley Marie Mayberry, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.