Individual provider Active NPI

Terri Ellen Warner, MD

  • Family Medicine Physician
  • Suffolk, VA
National Provider Identifier
1386801124
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101244115 Issued in VA
Practice address
3060 Godwin Blvd
Suffolk, VA 23434-8274
Phone
(757) 935-5310
Fax
(757) 935-5311
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101244115 VA Primary
Family Medicine Physician 207Q00000X 48635 KY

Addresses

Primary practice location

3060 Godwin Blvd
Suffolk, VA 23434-8274

Mailing address

PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090615000455 DC Practitioner - Family Practice 4284784133 Reassigns benefits to 2 organizations
I20110509000459 VA Practitioner - HospitalistPractitioner - Family Practice 4284784133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
University of Louisville School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Observation Physicians of TidewaterGroup PAC ID 8123401429, 19 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 934-4000

830 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 261-6000

Hospital & facility affiliations

  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Family Medicine CurrentSince Dec 17, 2018 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2013 Accepting new patients
Observation Physicians of Tidewater CurrentSince Dec 1, 2022 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Jul 10, 2015 Accepting new patients
Bayview Physician Services, PC Family Medicine CurrentSince May 1, 2017 Accepting new patients
Bayview Physician Services, PC CurrentSince May 1, 2017 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2013 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 10, 2015 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020

2990 Telestar Ct
Ste 3UC
Falls Church, VA 22042

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2800 Godwin Blvd
Fl 1
Suffolk, VA 23434
Phone (757) 934-4821

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

2800 Godwin Blvd
Ste 210
Suffolk, VA 23434
Phone (757) 934-4162

3060 Godwin Blvd
Suffolk, VA 23434
Phone (757) 923-9660

115 Park St SE
Ste 300
Vienna, VA 22180
Phone (703) 255-9100

2075 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 821-2825

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1386801124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348274",
            "telephone_number": "757-935-5310",
            "fax_number": "757-935-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "TERRI",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101244115",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "48635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.