Family Medical Care of Smithfield PLC
Organization Active NPI Internal Medicine Physician · Smithfield, VA
NPI 1508940180 · NPPES record last updated Feb 7, 2011
Key facts
- NPI
- 1508940180
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101232510 (VA)
- Legal business name
- FAMILY MEDICAL CARE OF SMITHFIELD PLC
- Practice address
- 201 Gumwood Dr
Smithfield, VA 23430-6086 - Phone
- (757) 357-3331
- Fax
- (757) 357-6635
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Thomas C Pope, M.D.
- Title
- Owner
- Phone
- (757) 357-3331
Practitioners 8
-
Morgan Winslow Arrington, PA-C
-
Whitney Witt Irvine, MSN, APRN, FNP-C
-
Shannon M Pope, MD
-
Thomas C Pope, MD
-
Donna Carol Smith, MS, FNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1038125 | Family Medical Care of Smithfield | Provider-performed microscopy | Mar 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050420000171 | VA | Part B Supplier - Clinic/Group Practice | 9032157151 |
Receives reassigned benefits from 8 practitioners Practice locations: Smithfield, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 0101232510 | VA | Yes |
| Internal Medicine Physician |
207R00000X | 0101232509 | VA | |
| Pediatrics Physician |
208000000X | 0101232510 | VA | |
| Pediatrics Physician |
208000000X | 0101232509 | VA |
Addresses
Primary practice location
201 Gumwood Dr
Smithfield, VA 23430-6086
Mailing address
201 Gumwood Dr
Smithfield, VA 23430-6086
Phone (757) 357-3331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010123755 | Medicaid | VA | |
| 175006 | Other | VA | BCBS DR. SHANNON POPE |
| 010132487 | Medicaid | VA | |
| 175031 | Other | VA | BCBS DR. TOM POPE |
Other providers in Smithfield, VA
- Chelsea N Edwards
- Megan Elmore
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- Encore Pilates and Physical Therapy
- Susie Faltz
- Dianna Krystin Farrell
- Kimberley Irene Fedor
- Meagan Michelle Flaherty
- Focused Psychiatric and Mental Health Care Services, LLC
- Margaret Maria Furman-Juda
All providers in Smithfield, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.