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 NPI 1326067877
Title
President
Phone
(804) 693-3500

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2093743Courthouse Family Medicine, PLLC
6760 Main Street - Suite a, Gloucester, VA 23061
Certificate of waiverApr 2, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

All providers in Gloucester, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.