Active NPI
Amanda Lindsley Weller, MD
- Orthopaedic Surgery Physician
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 101256392
- Practice address
- 620 John Paul Jones Cir
Portsmouth, VA 23708-2111 - Phone
- (757) 953-3318
- NPI assigned
- May 31, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 2019-02852 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | 101256392 | VA | Primary |
Addresses
Primary practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Mailing address
3160 Adam Keeling Rd
Virginia Beach, VA 23454-1004
Phone (214) 490-9875
Other practice location 1
5818D Harbour View Blvd
Ste 150
Suffolk, VA 23435
Phone (757) 215-1400
Other practice location 2
1144 N Road St Ste 200
Elizabeth City, NC 27909-3473
Phone (252) 384-2360
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amanda.l.weller5.ctr@mail.mil | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101256392 | VA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Physician Services - Sentara, Inc | Current | Accepting new patients | |
| Albemarle Physician Services - Sentara, Inc | Orthopaedic Surgery | Current | Accepting new patients |
Locations
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
1144 N Road St
Ste 200
Elizabeth City, NC 27909
Phone (252) 384-2360
905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
Interoperability endpoints
- aweller798007@direct.sentara.net
- aweller@wardellortho.gwaydirect.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1942443130
NC, Orthopaedic Surgery
-
- Urgent Care Clinic/Center
- Kitty Hawk, NC
- NPI 1306202627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1467610907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 ADAM KEELING RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234541004",
"telephone_number": "214-490-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-3318"
}
],
"practiceLocations": [
{
"address_1": "5818D Harbour View Blvd",
"address_2": "Ste 150",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "23435",
"country_code": "US",
"telephone_number": "757-215-1400",
"fax_number": "757-215-1403",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1144 N Road St Ste 200",
"address_purpose": "LOCATION",
"city": "Elizabeth City",
"state": "NC",
"postal_code": "279093473",
"country_code": "US",
"telephone_number": "252-384-2360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLER",
"first_name": "AMANDA",
"middle_name": "LINDSLEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-31",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NC",
"license": "2019-02852",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "101256392",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amanda.l.weller5.ctr@mail.mil",
"affiliation": "N",
"endpointDescription": "Military email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "620 John Paul Jones Cir",
"city": "Portsmouth",
"state": "VA",
"country_code": "US",
"postal_code": "237082111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.