Individual provider Active NPI

Brannon Nicole Cater, PA-C

  • Medical Physician Assistant
  • Hampton, VA
National Provider Identifier
1174751002
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003023 Issued in VA
Practice address
2304 W Mercury Blvd
Hampton, VA 23666-3115
Phone
(757) 951-1579
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110003023 VA Primary

Addresses

Primary practice location

2304 W Mercury Blvd
Hampton, VA 23666-3115

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Other practice location 1

2 Bernardine Dr
Newport News, VA 23602-4404
Phone (757) 886-6755

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090917000298 VA Practitioner - Physician Assistant 2466508338 Reassigns benefits to 3 organizations
I20221020000888 DC Practitioner - Physician Assistant 2466508338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2304 W Mercury Blvd
Hampton, VA 23666-3115
Phone (757) 951-1579

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

611 Denbigh Blvd
Newport News, VA 23608-4415
Phone (757) 283-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110003023VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 1, 2016 Accepting new patients
Velocity Urgent Care, LLC CurrentSince Feb 1, 2021 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Sep 20, 2022 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Sep 20, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 1, 2016 Accepting new patients
One Hampton Medical, LLC Past Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

2304 W Mercury Blvd
Hampton, VA 23666
Phone (757) 951-1579

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

Organizations & group practices 7

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1174751002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 W MERCURY BLVD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663115",
            "telephone_number": "757-951-1579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Bernardine Dr",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024404",
            "country_code": "US",
            "telephone_number": "757-886-6755",
            "fax_number": "757-886-6369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CATER",
        "first_name": "BRANNON",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2304 W Mercury Blvd",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236663115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.