Individual provider Active NPI

John Coleman, M.D

  • Addiction Psychiatry Physician
  • Norfolk, VA
National Provider Identifier
1053558072
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
0101246480 Issued in VA
Practice address
7460 Tidewater Dr
Norfolk, VA 23505-3845
Phone
(757) 823-4120
Fax
(757) 823-4265
NPI assigned
Jan 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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 0101246480 VA
Addiction Psychiatry Physician 2084P0802X 0101246480 VA Primary

Addresses

Primary practice location

7460 Tidewater Dr
Norfolk, VA 23505-3845

Mailing address

7460 Tidewater Dr
Norfolk, VA 23505-3845
Phone (757) 823-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411000292 VA Practitioner - Psychiatry 5193163061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of NorfolkGroup PAC ID 8325001951, 16 clinicians

Practice addresses (Care Compare)

7460 Tidewater Dr
Norfolk, VA 23505-3845
Phone (757) 756-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101246480VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Norfolk Psychiatry CurrentSince Mar 10, 2024 Accepting new patients

Locations

5505 Robin Hood Rd
Ste C1
Norfolk, VA 23513
Phone (757) 756-5600

7464 Tidewater Dr
Norfolk, VA 23505
Phone (757) 664-6679

7447 Central Business Park Dr
Norfolk, VA 23513
Phone (757) 393-6363

7447 Central Business Park Dr
#B
Norfolk, VA 23513
Phone (757) 756-5600

7460 Tidewater Dr
Norfolk, VA 23505
Phone (757) 664-6670

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1053558072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053845",
            "telephone_number": "757-823-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053845",
            "telephone_number": "757-823-4120",
            "fax_number": "757-823-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101246480",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "VA",
            "license": "0101246480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.