Individual provider Active NPI

Jessica Deal, NP-C

  • Gerontology Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1205204583
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024183855 Issued in VA
Practice address
2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone
(757) 536-2246
Fax
(579) 659-8067
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5007867 NC
Gerontology Nurse Practitioner 363LG0600X 0024183855 VA Primary
Primary Care Nurse Practitioner 363LP2300X 5007867 NC

Addresses

Primary practice location

2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452

Mailing address

180 Carrols LN
Clarksville, VA 23927-4202
Phone (919) 939-6236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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
I20151019001241 NC Practitioner - Nurse Practitioner 9335458157 Reassigns benefits to 2 organizations
I20220323002887 VA Practitioner - Nurse Practitioner 9335458157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 Charles Rollins Rd
Suite 102
Henderson, NC 27536-2882
Phone (252) 436-0440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5007867NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices LLC CurrentSince Dec 1, 2019 Accepting new patients
M Medical Group, Inc. CurrentSince May 1, 2024 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Dec 1, 2019 Accepting new patients
M Medical NC PLLC CurrentSince Jul 1, 2024 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
M Medical Group, Inc. CurrentSince May 1, 2024 Accepting new patients
DLP Maria Parham Physician Practices, LLC Past Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

120 Charles Rollins Rd
Ste 102
Henderson, NC 27536
Phone (252) 436-0440

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

120 Charles Rollins Rd
Ste 201
Henderson, NC 27536
Phone (252) 430-8111

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

17 Cornelia St
Lexington, NC 27292
Phone (336) 242-1349

1501 N Bickett Blvd
Ste E
Louisburg, NC 27549
Phone (919) 497-0445

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

Interoperability endpoints

  • Direct secure messaging: jessica.deal.1@20247.direct.athenahealth.com

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 8

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1205204583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CARROLS LN",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239274202",
            "telephone_number": "919-939-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S LYNNHAVEN RD",
            "address_2": "STE 450",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-536-2246",
            "fax_number": "579-659-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2022-04-25",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5007867",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024183855",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5007867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.