Active NPI
C. Arthur Nalls III, MD
- Psychiatry Physician
- Norfolk, VA
National Provider Identifier
1043229198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101025915
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7108541 | Medicaid | VA | |
| 010093660 | Medicaid | VA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25915 | VA | MD | Psychiatry 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.