Individual provider Active NPI

Lerla Georgette Joseph, M.D.

  • Internal Medicine Physician
  • Petersburg, VA
National Provider Identifier
1326087875
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101036044 Issued in VA
Practice address
849 S Sycamore St Ste a
Petersburg, VA 23803-5801
NPI assigned
Jun 6, 2006
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 010136044 VA
Internal Medicine Physician 207R00000X 0101036044 VA Primary

Addresses

Primary practice location

849 S Sycamore St Ste a
Petersburg, VA 23803-5801

Mailing address

921 Hull St
Richmond, VA 23224-4069
Phone (804) 230-4913

Other identifiers 3

IdentifierTypeStateIssuer
6063802MedicaidVA
000101256OtherVACIGNA
055645OtherVABLUE CROSS BLUE SHIELD

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
I20091110000743 VA Practitioner - Internal Medicine 6406935113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wake Forest University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

921 Hull St
Richmond, VA 23224-4069
Phone (804) 230-4913

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010136044VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles City Medical Group Inc CurrentSince Sep 27, 2009 Accepting new patients
Emc Health, LLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

849 S Sycamore St
Petersburg, VA 23803
Phone (804) 732-0116

849 S Sycamore St
Ste A
Petersburg, VA 23803
Phone (804) 715-1031

1606 Hull St
Richmond, VA 23224
Phone (804) 230-4913

921 Hull St
Richmond, VA 23224
Phone (804) 230-4913

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBDACD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBDACD/Endpoint/EBDACD
  • Direct secure messaging: lerlajoseph@usoapas.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1326087875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232244069",
            "telephone_number": "804-230-4913",
            "fax_number": "800-609-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 S SYCAMORE ST STE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "LERLA",
        "middle_name": "GEORGETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "010136044",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101036044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6063802",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "000101256",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "055645",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.