Individual provider Active NPI

Timothy Michael Kearns, PA

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1225057607
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110840624 Issued in VA
Practice address
4701 Virginia Beach Blvd Ste 210
Virginia Beach, VA 23462-7790
Phone
(757) 702-8110
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0110840624 VA
Physician Assistant 363A00000X 0110840624 VA Primary

Addresses

Primary practice location

4701 Virginia Beach Blvd Ste 210
Virginia Beach, VA 23462-7790

Mailing address

4701 Virginia Beach Blvd Ste 210
Virginia Beach, VA 23462-7790
Phone (757) 702-8110

Other identifiers 2

IdentifierTypeStateIssuer
278252OtherANTHEM
59848581OtherVATRICARE

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
I20060216000398 VA Practitioner - Physician Assistant 0143235820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians

Practice addresses (Care Compare)

1001 Centerbrooke LN
Suite 100
Suffolk, VA 23434-8663
Phone (757) 702-8105

2168 General Booth Blvd
Suite 510
Virginia Beach, VA 23454-5804
Phone (757) 702-8122

2859 Virginia Beach Blvd
Virginia Beach, VA 23452-7613
Phone (757) 395-1300

4374 New Town Ave
Williamsburg, VA 23188-2865
Phone (757) 984-6140

4701 Virginia Beach Blvd
Suite 210
Virginia Beach, VA 23462-7790
Phone (757) 702-8110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Dec 1, 2013 Accepting new patients
Bayview Physician Services, PC CurrentSince Dec 1, 2013 Accepting new patients
Velocity Urgent Care, LLC CurrentSince Jul 1, 2020 Accepting new patients
Emergency Physicians of Tidewater Emergency Medicine Past Accepting new patients
Velocity Urgent Care, LLC PastSince Sep 21, 2025 Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

4701 Virginia Beach Blvd
Ste 210
Virginia Beach, VA 23462
Phone (757) 702-8110

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1225057607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 VIRGINIA BEACH BLVD STE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627790",
            "telephone_number": "757-702-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 VIRGINIA BEACH BLVD STE 210",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627790",
            "telephone_number": "757-702-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0110840624",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "278252",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "59848581",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.