Individual provider Active NPI

Iakovos Anastasakis

  • Psychiatry Physician
  • Midlothian, VA
National Provider Identifier
1104409770
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101276358 Issued in VA
Practice address
13901 Coalfield Commons PL Ste 102
Midlothian, VA 23114-1219
Phone
(804) 378-0800
NPI assigned
May 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101276358 VA Primary

Addresses

Primary practice location

13901 Coalfield Commons PL Ste 102
Midlothian, VA 23114-1219

Mailing address

13901 Coalfield Commons PL Ste 102
Midlothian, VA 23114-1219
Phone (804) 378-0800

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
I20250520002461 VA Practitioner - Psychiatry 6204230972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Cincinnati College of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Virginia South Psychiatric and Family Services 35 clinicians

Practice addresses (Care Compare)

13901 Coalfield Commons PL
Suite 102
Midlothian, VA 23114-1219
Phone (804) 378-0800

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia South Psychiatric & Family Services Psychiatry CurrentSince May 13, 2025 Accepting new patients
Three Rivers Treatment Center LLC Past Accepting new patients

Locations

13901 Coalfield Commons Pl
Ste 102
Midlothian, VA 23114
Phone (804) 378-0800

13901 Coalfield Commons Pl
Midlothian, VA 23114
Phone (804) 420-1200

269 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 861-0700

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1104409770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 COALFIELD COMMONS PL STE 102",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141219",
            "telephone_number": "804-378-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 COALFIELD COMMONS PL STE 102",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141219",
            "telephone_number": "804-378-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTASAKIS",
        "first_name": "IAKOVOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101276358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.