Individual provider Active NPI

Jeremy Joo, PA-C

  • Physician Assistant
  • Colonial Heights, VA
National Provider Identifier
1215711890
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
110 Dunlop VLG
Colonial Heights, VA 23834-1764
Phone
(804) 526-6062
NPI assigned
Aug 23, 2023
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

110 Dunlop VLG
Colonial Heights, VA 23834-1764

Mailing address

110 Dunlop VLG
Colonial Heights, VA 23834-1764
Phone (804) 526-6062

Other practice location 1

7858 Shrader Rd Fl 1
Richmond, VA 23294-4222
Phone (804) 270-1305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231121001618 VA Practitioner - Physician Assistant 6002264652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Arthritis and Rheumatology Associates VA LLCGroup PAC ID 4183978133, 12 clinicians

Practice addresses (Care Compare)

110 Dunlop VLG
Colonial Heights, VA 23834-1764
Phone (804) 526-6062

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc. CurrentSince Oct 8, 2023 Accepting new patients
Orthovirginia, Inc CurrentSince Oct 8, 2023 Accepting new patients
Carlton E.Miller M.D.P.C PastSince Mar 11, 2025 Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

7858 Shrader Rd
#1
Richmond, VA 23294
Phone (804) 213-2390

Interoperability endpoints

  • Direct secure messaging: jeremy.joo.p93@direct.aara1.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1215711890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DUNLOP VLG",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341764",
            "telephone_number": "804-526-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DUNLOP VLG",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341764",
            "telephone_number": "804-526-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7858 Shrader Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232944222",
            "country_code": "US",
            "telephone_number": "804-270-1305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOO",
        "first_name": "JEREMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.