Individual provider Active NPI

Duane Matthew Lawrence, MD

  • Psychiatry Physician
  • Virginia Beach, VA
National Provider Identifier
1497718845
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101238548 Issued in VA
Practice address
328 Office Square LN Ste 104
Virginia Beach, VA 23462-3648
Phone
(757) 910-2270
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101238548 VA Primary

Addresses

Primary practice location

328 Office Square LN Ste 104
Virginia Beach, VA 23462-3648

Mailing address

1083 Independence Blvd Ste 187
Virginia Beach, VA 23455-5523
Phone (757) 910-2270

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230414001485 VA Practitioner - Psychiatry 7719125707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Eastern Virginia Medical School, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

328 Office Square LN
Suite 104
Virginia Beach, VA 23462-3648
Phone (757) 490-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238548VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicina Mentis Ad Gloriam Dei PLLC Psychiatry CurrentSince Dec 31, 2022 Accepting new patients

Locations

1083 Independence Blvd
Virginia Beach, VA 23455

328 Office Square Ln
Ste 104
Virginia Beach, VA 23462
Phone (757) 490-9500

Organizations & group practices 1

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1497718845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 INDEPENDENCE BLVD STE 187",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555523",
            "telephone_number": "757-910-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 OFFICE SQUARE LN STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623648",
            "telephone_number": "757-910-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "DUANE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2022-08-29",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101238548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.