Active NPI
John G Phocas III, MD
- Psychiatry Physician
- Newport News, VA
National Provider Identifier
1043283443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101235090
- Practice address
- 17579 Warwick Blvd
Newport News, VA 23603-1343 - Phone
- (757) 888-0400
- NPI assigned
- Feb 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101235090 | VA | Primary |
Addresses
Primary practice location
17579 Warwick Blvd
Newport News, VA 23603-1343
Mailing address
17579 Warwick Blvd
Newport News, VA 23603-1343
Phone (757) 888-0400
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1P283758 | Other | MAGELLAN | |
| 266844 | Other | ANTHEM PPO | |
| C01884 | Other | MCARE GROUP | |
| P00089632 | Other | MCARE RAILROAD | |
| 10010241 | Medicaid | VA | |
| 327269 | Other | VA | MHN |
| 327269 | Other | MANAGED HEALTH NETWORK | |
| 266844 | Other | ANTHEM BCBS | |
| 081094M | Other | SENTARA OPTIMA | |
| 266844 | Other | BC BS | |
| 381660 | Other | VA | MAMSI |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Psychiatric Services | Past | Accepting new patients | |
| Keystone Newport News, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1063514925
-
- Mental Illness Community Based Residential Treatment Facility
- Newport News, VA
- NPI 1356360580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043283443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17579 WARWICK BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236031343",
"telephone_number": "757-888-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17579 WARWICK BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236031343",
"telephone_number": "757-888-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHOCAS",
"first_name": "JOHN",
"middle_name": "G",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101235090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "1P283758",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PPO",
"identifier": "266844",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE GROUP",
"identifier": "C01884",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE RAILROAD",
"identifier": "P00089632",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10010241",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "327269",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "327269",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "266844",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA",
"identifier": "081094M",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "266844",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "381660",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.