Individual provider Active NPI

Shirley C. Dodson-McAdoo, RN, ANP-C

  • Adult Health Nurse Practitioner
  • Kilmarnock, VA
National Provider Identifier
1285873315
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024167175 Issued in VA
Practice address
101 Harris Rd
Medical Building 6
Kilmarnock, VA 22482-3880
Phone
(804) 435-0023
Fax
(804) 435-0025
NPI assigned
Feb 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024167175 VA Primary

Addresses

Primary practice location

101 Harris Rd
Medical Building 6
Kilmarnock, VA 22482-3880

Mailing address

PO Box 1866
Kilmarnock, VA 22482-1866
Phone (804) 435-0023

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
I20110518000451 VA Practitioner - Nurse Practitioner 7416005319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Post Acute & Long Term Care PLLC Adult Health CurrentSince Jan 17, 2018 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
The Family Maternity Center of the Northern Neck, Inc. Past Accepting new patients
The Family Maternity Center of the Northern Neck, Inc. Past Accepting new patients

Locations

460 S Main St
Kilmarnock, VA 22482
Phone (804) 435-9896

110 Kingsley Ln
Ste 106
Norfolk, VA 23505
Phone (757) 354-2885

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

Organizations & group practices 4

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": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1285873315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224821866",
            "telephone_number": "804-435-0023",
            "fax_number": "804-435-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HARRIS RD",
            "address_2": "MEDICAL BUILDING 6",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823880",
            "telephone_number": "804-435-0023",
            "fax_number": "804-435-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON-MCADOO",
        "first_name": "SHIRLEY",
        "middle_name": "C.",
        "credential": "RN, ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024167175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

Verify at the official NPI Registry.