Charles City Medical Group Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

0101052550 Issued in VA

Legal business name

CHARLES CITY MEDICAL GROUP INC

Practice address

921 Hull St
Richmond, VA 23224-4069

Phone

(804) 230-4913

Fax

(804) 233-7034

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lerla G Joseph, M.D.NPI 1326087875

Title

President/Physician

Phone

(804) 230-4913

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBDACD

Practitioners 4

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

• Lerla Georgette Joseph, M.D.

  • Internal Medicine Physician
  • Petersburg, VA
  • NPI 1326087875
  Medicare reassignment NPD Authorized official
• Barrington H Bowser Jr., M.D.

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1669405718
  NPD (past)
• Keshawn Michara Stokes-Ward, NP

  • Nurse Practitioner
  • Richmond, VA
  • NPI 1326436494
  NPD (past)
• Lorraine Elizabeth McKinney, DPM

  • Podiatrist
  • Missouri City, TX
  • NPI 1609813252
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688860800000",
    "number": "1043267693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232244069",
            "telephone_number": "804-230-4913",
            "fax_number": "800-609-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232244069",
            "telephone_number": "804-230-4913",
            "fax_number": "804-233-7034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 S Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238035801",
            "country_code": "US",
            "telephone_number": "804-732-0116",
            "fax_number": "800-609-6810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLES CITY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-07-09",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "LERLA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "804-230-4913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101052550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5620911",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E. Charbonneau, LCSW
• Emily Charen
• Holly Jean Charest, COTA/L
• Kayanna Charity
• Renard A Charity, MD
• Charles J Hackett Jr DDS PC
• David Charlip
• Lei S Charlton, M.D.
• Michael Hanes Charlton, MD
• Eva Charron Herrera

• Adult Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Adult Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.