Organization Active NPI

Medlin Aesthetic Medicine PLLC

  • Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1194623538
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MEDLIN AESTHETIC MEDICINE PLLC
Practice address
12551 Jefferson Ave Ste 187
Newport News, VA 23602-4494
Phone
(757) 586-4574
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Adam Wayne Medlin, FNP-BC
Title
Owner
Phone
(757) 303-2117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

12551 Jefferson Ave Ste 187
Newport News, VA 23602-4494

Mailing address

114 Cannon Dr
Newport News, VA 23602-7453
Phone (757) 586-4575

National Provider Directory

National Provider Directory

Locations

12551 Jefferson Ave
Ste 187
Newport News, VA 23602

NPI Registry JSON

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1194623538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CANNON DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027453",
            "telephone_number": "757-586-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12551 JEFFERSON AVE STE 187",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024494",
            "telephone_number": "757-586-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIN AESTHETIC MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "MEDLIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-303-2117",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.