Individual provider Active NPI

Lisa Coleman, D.O.

  • Surgery Physician
  • Newport News, VA
National Provider Identifier
1457433450
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0102204516 Issued in VA
Practice address
860 Omni Blvd
Ste 108
Newport News, VA 23606-4434
Phone
(757) 874-1077
NPI assigned
Oct 19, 2006
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DOS-975 HI
Surgery Physician 208600000X 0102204516 VA Primary
Surgery Physician 208600000X 2022-02751 NC

Addresses

Primary practice location

860 Omni Blvd
Ste 108
Newport News, VA 23606-4434

Mailing address

860 Omni Blvd
Newport News, VA 23606-4434
Phone (757) 874-1077

Other practice location 1

700 Academy St S
Ahoskie, NC 27910-3264
Phone (252) 209-5404

Other practice location 2

20486 Market St
Onancock, VA 23417-4309
Phone (757) 414-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.coleman.p1@direct.tpmg.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20161229001548 VA Practitioner - General Surgery 8729200274 Reassigns benefits to 2 organizations
I20251210001297 NC Practitioner - General Surgery 8729200274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

20486 Market St
Onancock, VA 23417-4309
Phone (757) 302-2700

700 Academy St S
Ahoskie, NC 27910-3264
Phone (252) 209-5404

860 Omni Blvd
Suite 108
Newport News, VA 23606-4430
Phone (757) 874-1077

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS-975HIMDSurgery Physician
2022-02751NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jan 1, 2017 Accepting new patients
Tidewater Physicians Multispecialty Group PC Surgery CurrentSince Jan 1, 2017 Accepting new patients
Riverside Physician Services, Inc. Surgery CurrentSince Oct 31, 2023 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Vidant Medical Group LLC CurrentSince Nov 10, 2025 Accepting new patients
Riverside Physician Services Inc CurrentSince Oct 31, 2023 Accepting new patients

Locations

700 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3614

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

2205 Executive Dr
Ste A
Hampton, VA 23666
Phone (757) 223-4992

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

860 Omni Blvd
Ste 101
Newport News, VA 23606
Phone (757) 223-9794

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

860 Omni Blvd
Ste 108
Newport News, VA 23606
Phone (757) 874-1077

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 302
Newport News, VA 23606
Phone (757) 874-1077

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

20486 Market St
Onancock, VA 23417
Phone (757) 302-2700

Interoperability endpoints

  • Direct secure messaging: lisa.coleman.p1@direct.tpmg.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 6

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 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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1457433450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064434",
            "telephone_number": "757-874-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD",
            "address_2": "STE 108",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064434",
            "telephone_number": "757-874-1077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Academy St S",
            "address_purpose": "LOCATION",
            "city": "Ahoskie",
            "state": "NC",
            "postal_code": "279103264",
            "country_code": "US",
            "telephone_number": "252-209-5404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20486 Market St",
            "address_purpose": "LOCATION",
            "city": "Onancock",
            "state": "VA",
            "postal_code": "234174309",
            "country_code": "US",
            "telephone_number": "757-414-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "DOS-975",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0102204516",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2022-02751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.coleman.p1@direct.tpmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NEXTGEN",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NETWORK",
            "address_1": "860 Omni Blvd",
            "address_2": "Ste 108",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236064434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.