Med MGT Associates of Virginia LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101265222 Issued in VA

Legal business name

MED MGT ASSOCIATES OF VIRGINIA LLC

Practice address

688 Kingsborough SQ
Chesapeake, VA 23320-4908

Phone

(757) 547-9111

NPI assigned

Aug 21, 2018

Last updated

Jul 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Neese Jr.

Title

Cfo

Phone

(210) 615-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 6

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.

• Kateria Sha'Kee Carter Washington

  • Family Nurse Practitioner
  • Richmond, VA
  • NPI 1699375964
  Medicare reassignment Care Compare group NPD
• Shannon Burnette, RN,MSN

  • Family Nurse Practitioner
  • Quincy, IL
  • NPI 1932293362

  VA

  Medicare reassignment Care Compare group NPD
• Shelly R Smith, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1457630774

  VA

  Medicare reassignment Care Compare group NPD
• Chantz Bury, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsburg, VA
  • NPI 1356990261
  Medicare reassignment NPD
• Aaron Brown, D.O.

  • Psychiatry Physician
  • McKinney, TX
  • NPI 1023455649

  VA

  Medicare reassignment NPD
• Riaz Rahman, M.D.

  • Geriatric Psychiatry Physician
  • Stafford, TX
  • NPI 1275630717

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1104307834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD STE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404803",
            "telephone_number": "210-615-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 KINGSBOROUGH SQ",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204908",
            "telephone_number": "757-547-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MGT ASSOCIATES OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "NEESE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-615-3434",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101265222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0101265222",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.