Organization Active NPI

Primecare Internal Medicine PC

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1124269238
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101240760 Issued in VA
Legal business name
PRIMECARE INTERNAL MEDICINE PC
Practice address
4460 Corporation LN
Corporation Center One, Suite 190
Virginia Beach, VA 23462-3150
Phone
(757) 518-8827
NPI assigned
Mar 19, 2009
Last updated
Jan 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Dr. Garfield Hue Samuels, M.D.NPI 1083654669
Title
Officer
Phone
(757) 518-8827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101240760 VA Primary

Addresses

Primary practice location

4460 Corporation LN
Corporation Center One, Suite 190
Virginia Beach, VA 23462-3150

Mailing address

4460 Corporation LN
Corporation Center One, Suite 190
Virginia Beach, VA 23462-3150
Phone (757) 518-8827

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1124269238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 CORPORATION LN",
            "address_2": "CORPORATION CENTER ONE, SUITE 190",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623150",
            "telephone_number": "757-518-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 CORPORATION LN",
            "address_2": "CORPORATION CENTER ONE, SUITE 190",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623150",
            "telephone_number": "757-518-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "GARFIELD",
        "authorized_official_middle_name": "HUE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "757-518-8827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101240760",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.