Individual provider Active NPI

Pauline Carvella Reed, M.D.

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1306814173
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101102766 Issued in VA
Practice address
940 General Booth Blvd
Suite a
Virginia Beach, VA 23451-4857
Phone
(757) 425-3610
Fax
(757) 422-3714
NPI assigned
Mar 9, 2006
Last updated
Feb 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101102766 VA Primary

Addresses

Primary practice location

940 General Booth Blvd
Suite a
Virginia Beach, VA 23451-4857

Mailing address

940 General Booth Blvd
Suite a
Virginia Beach, VA 23451-4857
Phone (757) 425-3610

Other identifiers 1

IdentifierTypeStateIssuer
005624657MedicaidVA

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
I20080807000486 VA Practitioner - Family Practice 3173693017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 N Witchduck Rd
Virginia Beach, VA 23462-6506
Phone (757) 385-2437

157 N Main St
Suite a
Suffolk, VA 23462-6506
Phone (757) 925-1866

4714 Marshall Ave
Newport News, VA 23607-2247
Phone (757) 380-8709

490 Liberty St
Suite C
Chesapeake, VA 23324-2618
Phone (757) 228-1288

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101102766VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Institute for Community Health Inc Current Accepting new patients
Peninsula Institute for Community Health Inc CurrentSince Nov 1, 2008 Accepting new patients
Peninsula Institute for Community Health Inc Past Accepting new patients
Norton Community Physician Services LLC Past Accepting new patients
Norton Community Physician Services LLC Family Medicine Past Accepting new patients

Locations

490 Liberty St
Chesapeake, VA 23324
Phone (757) 228-1288

1357 Armory Dr
Franklin, VA 23851
Phone (757) 304-5570

300 Medical Dr
Ste 400
Hampton, VA 23666
Phone (757) 788-0400

1033 28th St
Newport News, VA 23607
Phone (757) 591-0643

1033 28th St
Fl 2
Newport News, VA 23607
Phone (757) 591-0643

15425 Warwick Blvd
Ste H
Newport News, VA 23608
Phone (757) 874-8400

4714 Marshall Ave
Newport News, VA 23607
Phone (757) 380-8709

7401 Warwick Blvd
Newport News, VA 23607
Phone (757) 591-0643

9294 Warwick Blvd
Newport News, VA 23607
Phone (757) 223-7001

157 N Main St
Ste A
Suffolk, VA 23434
Phone (757) 925-1866

104 N Witchduck Rd
Virginia Beach, VA 23462
Phone (757) 385-2437

940 General Booth Blvd
Ste A
Virginia Beach, VA 23451
Phone (757) 425-3610

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAFAA
  • Direct secure messaging: pauline.reed@sevhs.eclinicaldirectplus.com

Organizations & group practices 5

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1306814173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 GENERAL BOOTH BLVD",
            "address_2": "SUITE A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514857",
            "telephone_number": "757-425-3610",
            "fax_number": "757-422-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 GENERAL BOOTH BLVD",
            "address_2": "SUITE A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514857",
            "telephone_number": "757-425-3610",
            "fax_number": "757-422-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "PAULINE",
        "middle_name": "CARVELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101102766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005624657",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.