Individual provider Active NPI

Kerry C Prewitt, M.D.

  • Cardiovascular Disease Physician
  • Williamsburg, VA
National Provider Identifier
1255325254
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101041337 Issued in VA
Practice address
113 Bulifants Blvd Ste a
Williamsburg, VA 23188-5719
Phone
(804) 520-1764
NPI assigned
Sep 6, 2005
Last updated
Aug 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0057329 MD
Interventional Cardiology Physician 207RI0011X D0057329 MD
Interventional Cardiology Physician 207RI0011X 0101041337 VA
Cardiovascular Disease Physician 207RC0000X 0101041337 VA Primary

Addresses

Primary practice location

113 Bulifants Blvd Ste a
Williamsburg, VA 23188-5719

Mailing address

445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990
Phone (804) 520-1764

Other practice location 1

400 Sentara Cir
Ste 320
Williamsburg, VA 23188-5716
Phone (757) 345-4800

Other identifiers 2

IdentifierTypeStateIssuer
1255325254MedicaidVA
759502600MedicaidMD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110822000319 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Radiology 2365510765 Reassigns benefits to 2 organizations
Practice locations: Beltsville, MD

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Emory University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James River Cardiology, LLCGroup PAC ID 0941499594, 49 clinicians

Practice addresses (Care Compare)

113 Bulifants Blvd
Suite a
Williamsburg, VA 23188-5719
Phone (757) 561-2162

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Cardiovascular Disease CurrentSince Sep 19, 2016 Accepting new patients
James River Cardiology, LLC Cardiovascular Disease CurrentSince Sep 15, 2025 Accepting new patients
Northern Virginia Cardiology Associates, PC Cardiovascular Disease Past Accepting new patients
St. Joseph Physician Enterprise Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Saint Joseph Medical Center , Inc. Past Accepting new patients
Midatlantic Cardiovascular Associates PA Cardiovascular Disease Past Accepting new patients

Locations

445 Charles H Dimmock Pkwy
Ste 100
Colonial Hgts, VA 23834

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

113 Bulifants Blvd
Ste A
Williamsburg, VA 23188
Phone (757) 220-3375

400 Sentara Cir
Ste 320
Williamsburg, VA 23188
Phone (757) 345-4300

400 Sentara Cir
Ste 320A
Williamsburg, VA 23188
Phone (757) 345-4300

Interoperability endpoints

  • Direct secure messaging: kerry.prewitt.1@31267.direct.athenahealth.com
  • Direct secure messaging: kprewitt247782@direct.sentara.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1255325254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CHARLES H DIMMOCK PKWY STE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342990",
            "telephone_number": "804-520-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BULIFANTS BLVD STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885719",
            "telephone_number": "804-520-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Sentara Cir",
            "address_2": "Ste 320",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885716",
            "country_code": "US",
            "telephone_number": "757-345-4800",
            "fax_number": "757-345-4801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "KERRY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0057329",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MD",
            "license": "D0057329",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101041337",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101041337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255325254",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "759502600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.