Active NPI
Venisse A Georgalas, D.C.
- Chiropractor
- Newport News, VA
National Provider Identifier
1376583047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000321
- Practice address
- 702 A Middle Ground Blvd
Newport News, VA 23606-4525 - Phone
- (757) 591-9390
- Fax
- (757) 873-3861
- NPI assigned
- Jun 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000321 | VA | Primary |
Addresses
Primary practice location
702 A Middle Ground Blvd
Newport News, VA 23606-4525
Mailing address
702 Middle Ground Blvd
Newport News, VA 23606-4525
Phone (757) 591-9390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U51263 | Other | VA | MEDICARE UPIN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104000321 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376583047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 MIDDLE GROUND BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064525",
"telephone_number": "757-591-9390",
"fax_number": "757-873-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 A MIDDLE GROUND BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064525",
"telephone_number": "757-591-9390",
"fax_number": "757-873-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGALAS",
"first_name": "VENISSE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UPIN",
"identifier": "U51263",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.