Individual provider Active NPI

Meghan Mary Theis

  • Physician Assistant
  • Williamsburg, VA
National Provider Identifier
1275828386
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003593 Issued in VA
Practice address
500 Sentara Cir Ste 105
Williamsburg, VA 23188-5754
Phone
(757) 253-5653
Fax
(757) 378-2776
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003593 VA Primary
Medical Physician Assistant 363AM0700X 0110003593 VA

Addresses

Primary practice location

500 Sentara Cir Ste 105
Williamsburg, VA 23188-5754

Mailing address

6353 Center Dr Ste 100
Norfolk, VA 23502-4100
Phone (561) 486-8439

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
I20110915000772 VA Practitioner - Physician Assistant 9335310796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6353 Ctr Dr
Suite 100
Norfolk, VA 23502

835 Glenrock Rd
Norfolk, VA 23502-3767

Hospital & facility affiliations

  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110003593VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC CurrentSince Nov 15, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 1, 2016 Accepting new patients
Velocity Urgent Care, LLC CurrentSince Dec 1, 2017 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Feb 1, 2016 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
One Hampton Medical, LLC Physician Assistant Past Accepting new patients

Locations

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

6353 Center Dr
Ste 100
Norfolk, VA 23502
Phone (571) 356-9735

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

4374 New Town Ave
Ste 100
Williamsburg, VA 23188
Phone (757) 259-1900

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

500 Sentara Cir
Ste 105
Williamsburg, VA 23188
Phone (757) 253-5653

Interoperability endpoints

  • Direct secure messaging: meghan.theis.1@22824.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1275828386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6353 CENTER DR STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024100",
            "telephone_number": "561-486-8439",
            "fax_number": "561-486-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SENTARA CIR STE 105",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885754",
            "telephone_number": "757-253-5653",
            "fax_number": "757-378-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIS",
        "first_name": "MEGHAN",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003593",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.