Active NPI
Charles Christopher Nicholas, DPM
- Podiatrist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103300941
- Practice address
- 3720 Holland Rd Ste 100
Virginia Beach, VA 23452-2859 - Phone
- (844) 333-8411
- Fax
- (833) 764-5719
- NPI assigned
- Apr 20, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103300941 | VA | Primary |
Addresses
Primary practice location
3720 Holland Rd Ste 100
Virginia Beach, VA 23452-2859
Mailing address
PO Box 101
Stevenson, MD 21153-0101
Phone (844) 333-8411
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010210241 | Medicaid | VA | |
| P00324323 | Other | VA | RR MEDICARE |
| 2138899 | Other | VA | MDIPA |
| 5180770001 | Other | VA | DMERC |
| 5180770002 | Other | VA | DMERC |
| 10007473 | Other | OPTIMA HEALTH | |
| 196666 | Other | VA | ANTHEM BLUE CROSS BLUE SH |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3720 Holland Rd
Suite 100
Virginia Beach, VA 23452-2859
Phone (757) 498-0202
5589 Greenwich Rd
Suite 101
Virginia Beach, VA 23462-6565
Phone (844) 333-8411
Hospital & facility affiliations
- Sentara Leigh Hospital
- Sentara Norfolk General Hospital
- Sentara Virginia Beach General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 53 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 263 |
| Removal or shaving of skin growth | 184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103300941 | VA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Spring Vascular LLC | Podiatrist | Current | Accepting new patients |
| Norfolk Foot and Ankle Group PC | Current | Accepting new patients | |
| Mountain Spring Vascular LLC | Podiatrist | Current | Accepting new patients |
Locations
3509 Granby St
#B
Norfolk, VA 23504
Phone (757) 423-8885
3509 Granby St
Norfolk, VA 23504
Phone (757) 437-2882
3509 Granby St
#A
Norfolk, VA 23504
5589 Greenwich Rd
Ste 101
Virginia Beach, VA 23462
Phone (540) 274-3205
4224 Holland Rd
Ste 106
Virginia Beach, VA 23452
Phone (757) 320-5819
5589 Greenwich Rd
Ste 100
Virginia Beach, VA 23462
Phone (757) 437-2882
5589 Greenwich Rd
Ste 150
Virginia Beach, VA 23462
Phone (757) 401-4435
3720 Holland Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 340-0446
550 Broadview Ave
Ste 102
Warrenton, VA 20186
Phone (540) 680-3433
Interoperability endpoints
- charles.nicholas.1@23046.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Vascular & Interventional Radiology Physician
- Warrenton, VA
- NPI 1639770621
Podiatrist
-
- Foot & Ankle Surgery Podiatrist
- Virginia Beach, VA
- NPI 1033288790
-
- Vascular & Interventional Radiology Physician
- Nottingham, MD
- NPI 1023807567
Podiatrist
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1124083100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101",
"city": "STEVENSON",
"state": "MD",
"postal_code": "211530101",
"telephone_number": "844-333-8411",
"fax_number": "833-764-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 HOLLAND RD STE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234522859",
"telephone_number": "844-333-8411",
"fax_number": "833-764-5719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "CHARLES",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103300941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010210241",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00324323",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "2138899",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5180770001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5180770002",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "10007473",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "196666",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.