Individual provider Active NPI

Meredith Coleman Dhillon, PA-C

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1427531102
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-006371 Issued in VA
Practice address
923 First Colonial Rd Ste 1821
Virginia Beach, VA 23454-3182
Phone
(757) 425-5010
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-006371 VA Primary

Addresses

Primary practice location

923 First Colonial Rd Ste 1821
Virginia Beach, VA 23454-3182

Mailing address

127 Potters Cir
Strasburg, VA 22657-3763
Phone (540) 247-1196

Other names 1

  • Meredith Mae Coleman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402001772 VA Practitioner - Physician Assistant 7618218512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McQueen and Dhillon Enterprises LLCGroup PAC ID 8628512787, 2 clinicians

Practice addresses (Care Compare)

506 S Independence Blvd
Suite 202
Virginia Beach, VA 23452-1154
Phone (757) 206-2682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110-006371VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Feb 11, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 11, 2020 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

1201 Lake James Dr
Ste 200
Virginia Beach, VA 23464
Phone (757) 523-0022

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1427531102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 POTTERS CIR",
            "city": "STRASBURG",
            "state": "VA",
            "postal_code": "226573763",
            "telephone_number": "540-247-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 FIRST COLONIAL RD STE 1821",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543182",
            "telephone_number": "757-425-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "MEREDITH",
        "middle_name": "COLEMAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "COLEMAN",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.