Minority AIDS Support Services Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MINORITY AIDS SUPPORT SERVICES INC

Practice address

247 28TH St Ste 100
Newport News, VA 23607-3907

Phone

(757) 586-5243

NPI assigned

Jun 1, 2023

Organization subpart

No

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

Authorized official

Name

Gwendolyn Ellis-Wilson, MS

Title

Manager/Authorized Official

Phone

(757) 586-5243

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Alex P Taylor, M.D.

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1881654192
  Medicare reassignment NPD
• Valerie L. Covington

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1235848581

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1619660883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 HUNTINGTON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236073913",
            "telephone_number": "757-240-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 28TH ST STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236073907",
            "telephone_number": "757-586-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINORITY AIDS SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "ELLIS-WILSON",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "MANAGER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "757-586-5243",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Journey of Virginia LLC
• Mindful Journey Therapeutic Services LLC
• Gail Elizabeth Miner, NP
• Joanne Marie Minkel, RBT
• Nathaniel Minnick, DO
• Tarikia Minter
• Inga Mintz
• Syeda Lamiya Mir
• Sarah Mirto, BCBA
• Ehsun Raza Mirza, M.D.

• General Practice Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.