Organization Active NPI

James River Neurology, PC

  • Neurology Physician
  • Richmond, VA
National Provider Identifier
1538388277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101052402 Issued in VA
Legal business name
JAMES RIVER NEUROLOGY, PC
Practice address
1457 Johnston Willis Dr
Richmond, VA 23235-4730
Phone
(804) 332-6624
Fax
(804) 302-4291
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Philip A Davenport, M.D.NPI 1659342806
Title
President
Phone
(804) 305-6623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 0101052402 VA Primary

Addresses

Primary practice location

1457 Johnston Willis Dr
Richmond, VA 23235-4730

Mailing address

12860 Olde King LN
Midlothian, VA 23113-9682
Phone (804) 332-6624

National Provider Directory

National Provider Directory

Locations

1457 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 332-6624

7660 E Parham Rd
Ste 104
Richmond, VA 23294
Phone (804) 332-6624

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538388277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12860 OLDE KING LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231139682",
            "telephone_number": "804-332-6624",
            "fax_number": "804-302-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 JOHNSTON WILLIS DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-332-6624",
            "fax_number": "804-302-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES RIVER NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-305-6623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101052402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.