Individual provider Active NPI

Stephen Joseph Langston, M.D.

  • Surgery Physician
  • Suffolk, VA
National Provider Identifier
1497860944
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101261569 Issued in VA
Practice address
2790 Godwin Blvd Ste 305
Suffolk, VA 23434-8158
Phone
(757) 934-4222
Fax
(757) 934-4111
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 045080 GA
Surgery Physician 208600000X 0101261569 VA Primary

Addresses

Primary practice location

2790 Godwin Blvd Ste 305
Suffolk, VA 23434-8158

Mailing address

2790 Godwin Blvd Ste 305
Suffolk, VA 23434-8158
Phone (757) 934-4222

Other practice location 1

750 N Cobb St Ste 130
Milledgeville, GA 31061-7168
Phone (478) 452-1024

Other identifiers 2

IdentifierTypeStateIssuer
000924976DMedicaidGA
P00261331OtherGARAILROAD MEDICARE

Other names 1

  • Stephen Joseph Walker Former name

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
I20170303001279 VA Practitioner - General Surgery 8729058524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

2790 Godwin Blvd
Suite 305
Suffolk, VA 23434-8158
Phone (757) 934-4222

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Mastectomy31
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision14
Removal of tissue15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045080GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Regional Surgical Surgery Current Accepting new patients
Sentara Medical Group CurrentSince Feb 20, 2017 Accepting new patients

Locations

750 N Cobb St
Ste 130
Milledgeville, GA 31061
Phone (478) 452-1024

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2790 Godwin Blvd
Ste 305
Suffolk, VA 23434
Phone (757) 934-4222

Interoperability endpoints

  • Direct secure messaging: stephen.langston@oconeeregional.gadirect.net
  • Direct secure messaging: slangston288140@direct.sentara.net

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.

Hospital & facility affiliations 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1497860944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 305",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348158",
            "telephone_number": "757-934-4222",
            "fax_number": "757-934-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 305",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348158",
            "telephone_number": "757-934-4222",
            "fax_number": "757-934-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 N Cobb St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310617168",
            "country_code": "US",
            "telephone_number": "478-452-1024",
            "fax_number": "478-452-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "045080",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101261569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000924976D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00261331",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "WALKER",
            "middle_name": "JOSEPH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.