The Family Practice of Manakin-Sabot PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE FAMILY PRACTICE OF MANAKIN-SABOT PC

Practice address

294 River Rd W
Manakin Sabot, VA 23103-3200

Phone

(804) 784-8800

Fax

(804) 784-7203

NPI assigned

Mar 21, 2006

Last updated

Feb 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph D Hellams Jr., MDNPI 1053380352

Title

President

Phone

(804) 784-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ralph D Hellams Jr., MD

  • Family Medicine Physician
  • Manakin Sabot, VA
  • NPI 1053380352
  Medicare reassignment Care Compare group NPD Authorized official
• Leah M Lecuyer, FNP

  • Family Nurse Practitioner
  • Midlothian, VA
  • NPI 1710462288
  Medicare reassignment Care Compare group NPD
• John Prettyman White, M.D.

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1336148923
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1487613113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 RIVER RD W",
            "city": "MANAKIN SABOT",
            "state": "VA",
            "postal_code": "231033200",
            "telephone_number": "804-784-8800",
            "fax_number": "804-784-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 RIVER RD W",
            "city": "MANAKIN SABOT",
            "state": "VA",
            "postal_code": "231033200",
            "telephone_number": "804-784-8800",
            "fax_number": "804-784-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY PRACTICE OF MANAKIN-SABOT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "HELLAMS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-784-8800",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C08626",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Suzanne Starseed, MHS, LOT
• Stephen E Glick DDS PC
• Stephen E. Glick, DDS, PC
• Courtney M. Subudhi, DNP, CNM, FNP, PMHNP
• Leslie S. Taylor, D.D.S.
• Ryan Christopher Thompson, PT, DPT
• Tidewater Physical Therapy LLC (Pivot Physical Therapy)
• Tuckahoe Physical Therapy Corp
• Casey Wadkins
• Paulette Richardson Williams, OT

• Family Medicine Physician in Manakin Sabot, VA
• Providers in Manakin Sabot, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.