Courthouse Family Medicine, PLLC
Organization Active NPI Family Medicine Physician · Gloucester, VA
NPI 1245570795 · NPPES record last updated Mar 22, 2013
Key facts
- NPI
- 1245570795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- COURTHOUSE FAMILY MEDICINE, PLLC
- Practice address
- 6760 Main St
Gloucester, VA 23061-5143 - Phone
- (804) 693-3500
- Fax
- (804) 693-3503
- NPI assigned
- Feb 20, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Atkins Leming, MD
- Title
- President
- Phone
- (804) 693-3500
Practitioners 3
-
Joseph A. Leming, MD
-
Amanda Wingfield, NP
-
Leah Hurst, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2093743 | Courthouse Family Medicine, PLLC | Certificate of waiver | Apr 2, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130517000475 | VA | Part B Supplier - Clinic/Group Practice | 5698912202 |
Receives reassigned benefits from 2 practitioners Practice locations: Gloucester, VA |
National Provider Directory
Locations
6760 Main St
#A
Gloucester, VA 23061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
6760 Main St
Gloucester, VA 23061-5143
Mailing address
PO Box 857
Gloucester, VA 23061-0857
Phone (804) 693-3500
Other providers in Gloucester, VA
- Commonweatlh of Virginia State Board of Health
- Elizabeth Heather Congrove
- Megan Connelly Grothaus
- Connex Family Services
- Natalie Conway
- Courthouse Pediatric Dentistry PLLC
- Andrea Bach Crawford
- Phuongkhanh Huy Cromwell
- Robert David Cross
- Sabrina Gertrude Curry
All providers in Gloucester, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.