Individual provider Active NPI

Carol Anne Purdy, D.O.

  • Family Medicine Physician
  • Newport News, VA
National Provider Identifier
1598715211
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102049937 Issued in VA
Practice address
12997 Warwick Blvd
Newport News, VA 23602-8352
Phone
(757) 369-3357
NPI assigned
May 11, 2006
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102049937 VA Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 0102049937 VA

Addresses

Primary practice location

12997 Warwick Blvd
Newport News, VA 23602-8352

Mailing address

12997 Warwick Blvd
Newport News, VA 23602-8352
Phone (757) 369-3357

Other names 1

  • Dr. Carol Purdy Worrill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090619000559 VA Practitioner - Family Practice 9537072756 Reassigns benefits to 2 organizations
I20241001000384 TN Practitioner - Family PracticePractitioner - Addiction Medicine 9537072756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, shared by 2 NPIs, 141 clinicians

Practice addresses (Care Compare)

240 Executive Ctr Pkwy
Fredericksburg, VA 22401-3107
Phone (800) 683-8313

4409 Central Ave Pike
Suite 102
Knoxville, TN 37912-4082
Phone (800) 683-8313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102049937VAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michumi PLLC CurrentSince Sep 1, 2014 Accepting new patients
Recover Together, Inc. Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Recover Together, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients

Locations

3070 104th St
#100
Urbandale, IA 50322

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

4409 Central Avenue Pike
Ste 102
Knoxville, TN 37912
Phone (865) 687-0474

240 Executive Center Pkwy
Fredericksburg, VA 22401
Phone (540) 371-1700

12997 Warwick Blvd
Newport News, VA 23602
Phone (757) 369-3357

6212 Jefferson Ave
Newport News, VA 23605

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

120 Monticello Ave
Williamsburg, VA 23185
Phone (757) 564-3627

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1598715211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12997 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028352",
            "telephone_number": "757-369-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12997 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028352",
            "telephone_number": "757-369-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102049937",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0102049937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "WORRILL",
            "middle_name": "PURDY",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.