Organization Active NPI

At Home Primary Care PLLC

  • Primary Care Clinic/Center
  • Amelia Court House, VA
National Provider Identifier
1386514487
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AT HOME PRIMARY CARE PLLC
Practice address
16520 Goodes Bridge Rd
Amelia Court House, VA 23002-4822
Phone
(804) 634-9270
Fax
(804) 561-1757
NPI assigned
Nov 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Keshia Monik Stephens, FNP-CNPI 1013600972
Title
Owner
Phone
(804) 634-9270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

16520 Goodes Bridge Rd
Amelia Court House, VA 23002-4822

Mailing address

16520 Goodes Bridge Rd
Amelia Court House, VA 23002-4822
Phone (804) 634-9270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260204000416 VA Part B Supplier - Clinic/Group Practice 0749768398 Receives reassigned benefits from 1 practitioner
Practice locations: Amelia Court House, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2334422At Home Primary Care PLLC16520 Goodes Bridge Rd, Amelia, VA 23002Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory

Locations

16520 Goodes Bridge Rd
Amelia Court House, VA 23002
Phone (804) 389-3847

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1386514487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 GOODES BRIDGE RD",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024822",
            "telephone_number": "804-634-9270",
            "fax_number": "894-561-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16520 GOODES BRIDGE RD",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024822",
            "telephone_number": "804-634-9270",
            "fax_number": "804-561-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "KESHIA",
        "authorized_official_middle_name": "MONIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-634-9270",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia Court House, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.