Organization Active NPI

Primecare Consulting and Management LLC

Doing business as Powhatan Family Physicians

  • Family Medicine Physician
  • Powhatan, VA
National Provider Identifier
1013538057
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMECARE CONSULTING AND MANAGEMENT LLC
Doing business as
Powhatan Family Physicians
Practice address
2615 Anderson Hwy Ste a
Powhatan, VA 23139-7400
Phone
(804) 794-1555
NPI assigned
Apr 30, 2020
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Toby Bayless
Title
Ceo
Phone
(804) 794-1555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

2615 Anderson Hwy Ste a
Powhatan, VA 23139-7400

Mailing address

2615 Anderson Hwy Ste a
Powhatan, VA 23139-7400

Other names 1

  • Powhatan Family Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

2615 Anderson Hwy
Ste A
Powhatan, VA 23139
Phone (804) 794-1555

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1013538057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 ANDERSON HWY STE A",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ANDERSON HWY STE A",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397400",
            "telephone_number": "804-794-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE CONSULTING AND MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "BAYLESS",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-794-1555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powhatan Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Powhatan Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powhatan, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.