Justin Andrew Coles, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Palmyra, VA
NPI 1336767391 · NPPES record last updated Sep 12, 2025
Key facts
- NPI
- 1336767391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 33 Rebecca Dr
Palmyra, VA 22963-6242 - Phone
- (434) 654-4680
- NPI assigned
- Jul 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Martha Jefferson Medical Group LLC
Practice addresses (Care Compare)
33 Rebecca Dr
Palmyra, VA 22963-6242
Phone (434) 654-4680
Hospital & facility affiliations
- Sentara Martha Jefferson Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251217001829 | VA | Practitioner - Internal Medicine | 3779980214 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101287181 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha Jefferson Medical Group LLC | Internal Medicine | Current |
Accepting new patients |
| Martha Jefferson Hospital | Past |
Accepting new patients |
Locations
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
33 Rebecca Dr
Palmyra, VA 22963
Phone (434) 654-4680
Interoperability endpoints
- jcoles1079450@direct.sentara.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101287181 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
33 Rebecca Dr
Palmyra, VA 22963-6242
Mailing address
33 Rebecca Dr
Palmyra, VA 22963-6242
Phone (434) 654-4680
Other practice location 1
2600 6th St SW
Canton, OH 44710-1702
Phone (330) 363-6223
Other names
- Justin Coles
Other providers in Palmyra, VA
- Carmelo F Caratozzolo
- Allyson Carter
- Brett L. Castrodale
- Sandra Mae Chirico
- Joan M Clark
- Commonwealth of Virginia State Board of Health
- Alexa Cservek
- Valerie D Cunningham
- Elizabeth Daidone
- Catherine Pendleton Davis
All providers in Palmyra, VA · Student in an Organized Health Care Education/Training Program in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.