Active NPI
Janice A McDonald, MD
- Addiction Medicine (Internal Medicine) Physician
- Virginia Beach, VA
National Provider Identifier
1306920830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 0101261562
- Practice address
- 4509 Whitechapel Dr
Virginia Beach, VA 23455-6447 - Phone
- (757) 460-4655
- Fax
- (757) 460-7744
- NPI assigned
- Oct 24, 2006
- Last updated
- Apr 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 200101474 | NC | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 0101261562 | VA | Primary |
Addresses
Primary practice location
4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Mailing address
4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Phone (757) 460-4655
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1302X | Other | NC | BCBS |
| 891302X | Medicaid | NC | |
| P00246669 | Other | NC | RAILROAD |
| 34D1040854 | Other | NC | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jan McDonald, M.D. | Current | Accepting new patients |
Locations
1134 N Road St
Ste 2
Elizabeth Cty, NC 27909
Phone (252) 331-5869
Organizations & group practices 1
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.
-
dba McDONALD DERMATOLOGY
- MOHS-Micrographic Surgery Physician
- Elizabeth City, NC
- NPI 1982884847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1306920830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4509 WHITECHAPEL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556447",
"telephone_number": "757-460-4655",
"fax_number": "757-460-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4509 WHITECHAPEL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556447",
"telephone_number": "757-460-4655",
"fax_number": "757-460-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JANICE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "200101474",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "VA",
"license": "0101261562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1302X",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891302X",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00246669",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "34D1040854",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.