Individual provider Active NPI

Mary Augusta Carter

  • Women's Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1316409139
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024181226 Issued in VA
Practice address
7601 Forest Ave Ste 100
Richmond, VA 23229-4933
Phone
(804) 282-9479
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001252257 VA
Women's Health Nurse Practitioner 363LW0102X 0024181226 VA Primary

Addresses

Primary practice location

7601 Forest Ave Ste 100
Richmond, VA 23229-4933

Mailing address

7601 Forest Ave Ste 100
Richmond, VA 23229-4933
Phone (804) 282-9479

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
I20210813000044 VA Practitioner - Nurse Practitioner 2163826157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6353 Ctr Dr
Suite 100
Norfolk, VA 23502

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001252257VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC CurrentSince Jan 9, 2023 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients

Locations

844 Kempsville Rd
Ste 210
Norfolk, VA 23502
Phone (757) 461-6131

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

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

7601 Forest Ave
Ste 100
Richmond, VA 23229
Phone (804) 282-9429

Interoperability endpoints

  • Direct secure messaging: mary.carter.1@22824.direct.athenahealth.com

Organizations & group practices 2

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1316409139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 FOREST AVE STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294933",
            "telephone_number": "804-282-9479",
            "fax_number": "804-282-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 FOREST AVE STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294933",
            "telephone_number": "804-282-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MARY",
        "middle_name": "AUGUSTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001252257",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024181226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.