Active NPI
Medlin Aesthetic Medicine PLLC
- Nurse Practitioner
- Newport News, VA
National Provider Identifier
1194623538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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 DirectoryLocations
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.