Individual provider Active NPI

C. Arthur Nalls III, MD

  • Psychiatry Physician
  • Norfolk, VA
National Provider Identifier
1043229198
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101025915 Issued in VA
Practice address
6353 Center Drive
Ste 204
Norfolk, VA 23502-4112
Phone
(757) 461-3313
Fax
(757) 461-8363
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25915 VA
Psychiatry Physician 2084P0800X 0101025915 VA Primary

Addresses

Primary practice location

6353 Center Drive
Ste 204
Norfolk, VA 23502-4112

Mailing address

6353 Center Drive
Ste 204
Norfolk, VA 23502-4112
Phone (757) 461-3313

Other identifiers 2

IdentifierTypeStateIssuer
7108541MedicaidVA
010093660MedicaidVA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25915VAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1043229198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6353 CENTER DRIVE",
            "address_2": "STE 204",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024112",
            "telephone_number": "757-461-3313",
            "fax_number": "757-461-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6353 CENTER DRIVE",
            "address_2": "STE 204",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024112",
            "telephone_number": "757-461-3313",
            "fax_number": "757-461-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLS",
        "first_name": "C.",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "25915",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101025915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7108541",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010093660",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.