NPIMap

Organization Active NPI

Mid-Atlantic Womens Care PLC

Doing business as Virginia Center for Women

  • Obstetrics & Gynecology Physician
  • Chesapeake, VA
National Provider Identifier
1063557098
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MID-ATLANTIC WOMENS CARE PLC
Doing business as
Virginia Center for Women
Practice address
1101 Madison PLZ
Suite 201
Chesapeake, VA 23320-5179
Phone
(757) 547-2322
Fax
(757) 547-9439
NPI assigned
Feb 20, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MID-ATLANTIC WOMENS CARE PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Derwin Gray, M.D.
Title
President
Phone
(757) 547-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1101 Madison PLZ
Suite 201
Chesapeake, VA 23320-5179

Mailing address

1101 Madison PLZ
Suite 201
Chesapeake, VA 23320-5179
Phone (757) 547-2322

Other practice location 1

4917 S Croatan Hwy
Nags Head, NC 27959-8811
Phone (252) 449-2100

Other names 1

  • Virginia Center for Women Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040115000607 VA Part B Supplier - Clinic/Group Practice 8820998156 Receives reassigned benefits from 223 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norfolk, VA; Richmond, VA; Roanoke, VA; Suffolk, VA; Virginia Beach, VA; Williamsburg, VA; Chesapeake, VA; Franklin, VA…
O20190926000136 NC Part B Supplier - Clinic/Group Practice 8820998156 Receives reassigned benefits from 19 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elizabeth City, NC; Moyock, NC; Nags Head, NC

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0718192Virginia Center for Women1101 Madison Plaza Suite 200, Chesapeake, VA 23320Provider-performed microscopyDec 7, 2026
49D2226988Virginia Center for Women1101 Madison Plaza Suite 100, Chesapeake, VA 23320Provider-performed microscopyJun 6, 2027

National Provider Directory

National Provider Directory
Part of
Womancare of Williamsbu

Locations

1101 Madison Plz
Ste 100
Chesapeake, VA 23320
Phone (757) 436-2444

1101 Madison Plz
Ste 200
Chesapeake, VA 23320

1101 Madison Plz
Ste 201
Chesapeake, VA 23320
Phone (757) 547-2322

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1063557098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON PLZ",
            "address_2": "SUITE 201",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205179",
            "telephone_number": "757-547-2322",
            "fax_number": "757-547-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON PLZ",
            "address_2": "SUITE 201",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205179",
            "telephone_number": "757-547-2322",
            "fax_number": "757-547-9439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4917 S Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Nags Head",
            "state": "NC",
            "postal_code": "279598811",
            "country_code": "US",
            "telephone_number": "252-449-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-ATLANTIC WOMENS CARE PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-ATLANTIC WOMENS CARE PLC",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DERWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-547-2322",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Center for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.