Active NPI
Nicolas S Platamone
- Family Medicine Physician
- Henrico, VA
National Provider Identifier
1497218754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102206736
- Practice address
- 12129 Graham Meadows Dr
Henrico, VA 23233-6661 - Phone
- (804) 288-4084
- NPI assigned
- Apr 12, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 0102206736 | VA | Primary |
Addresses
Primary practice location
12129 Graham Meadows Dr
Henrico, VA 23233-6661
Mailing address
7130 Glen Forest Dr Ste 101
Richmond, VA 23226-3754
Phone (804) 288-4084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1497218754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7130 GLEN FOREST DR STE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263754",
"telephone_number": "804-288-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12129 GRAHAM MEADOWS DR",
"city": "HENRICO",
"state": "VA",
"postal_code": "232336661",
"telephone_number": "804-288-4084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATAMONE",
"first_name": "NICOLAS",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-12",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102206736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.