NPIMap

Individual provider Active NPI

Clay E Beveridge, MD

  • Internal Medicine Physician
  • North Chesterfield, VA
National Provider Identifier
1407807431
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101056135 Issued in VA
Practice address
229 Wadsworth Dr
North Chesterfield, VA 23236-4510
Phone
(804) 228-3627
Fax
(804) 560-1312
NPI assigned
May 15, 2006
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101056135 VA Primary

Addresses

Primary practice location

229 Wadsworth Dr
North Chesterfield, VA 23236-4510

Mailing address

229 Wadsworth Dr
North Chesterfield, VA 23236-4510
Phone (804) 228-3627

Other identifiers 3

IdentifierTypeStateIssuer
010252083MedicaidVA
010252091MedicaidVA
P00309631OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000642 VA Practitioner - Internal Medicine 8729097522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians IncGroup PAC ID 5597650804, 93 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

229 Wadsworth Dr
North Chesterfield, VA 23236-4510
Phone (804) 228-3627

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians Inc CurrentSince Feb 10, 2020 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Jun 13, 2017 Accepting new patients
NPI 1477614964 CurrentSince Feb 10, 2020 Accepting new patients
Virginia Physicians Inc Current Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Apr 12, 2017 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

3000 Watercove Rd
Midlothian, VA 23112
Phone (804) 744-0200

229 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 228-3627

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: clay.beveridge@vpi.eclinicaldirectplus.com

Organizations & group practices 5

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1407807431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 WADSWORTH DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364510",
            "telephone_number": "804-228-3627",
            "fax_number": "804-560-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 WADSWORTH DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364510",
            "telephone_number": "804-228-3627",
            "fax_number": "804-560-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERIDGE",
        "first_name": "CLAY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101056135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010252083",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010252091",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00309631",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.