Organization Active NPI

Hampton Roads Primary Care

  • Primary Care Clinic/Center
  • Portsmouth, VA
National Provider Identifier
1306627112
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HAMPTON ROADS PRIMARY CARE
Doing business as
Hampton Roads Primary Care
Practice address
355 Crawford St Ste 622
Portsmouth, VA 23704-2823
Phone
(757) 516-7554
Fax
(757) 740-9950
NPI assigned
Oct 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Samuel Albert Brown
Title
Ceo
Phone
(757) 642-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

355 Crawford St Ste 622
Portsmouth, VA 23704-2823

Mailing address

669 Fairfax Way
Williamsburg, VA 23185-8204
Phone (757) 642-0240

Other names 1

  • Hampton Roads Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250414002154 VA Part B Supplier - Clinic/Group Practice 7911421771 Receives reassigned benefits from 3 practitioners
Practice locations: Portsmouth, VA

National Provider Directory

National Provider Directory

Locations

475 Water St
Ste C103A
Portsmouth, VA 23704

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1306627112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 FAIRFAX WAY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231858204",
            "telephone_number": "757-642-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST STE 622",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042823",
            "telephone_number": "757-516-7554",
            "fax_number": "757-740-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-642-0240"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Roads Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.