NPIMap

Organization Active NPI

Plastic Surgery Center of Hampton Roads, PC

  • Ambulatory Surgical Clinic/Center
  • Newport News, VA
National Provider Identifier
1639258478
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PLASTIC SURGERY CENTER OF HAMPTON ROADS, PC
Practice address
895 City Center Blvd
Suite 300
Newport News, VA 23606-3080
Phone
(757) 873-3500
Fax
(757) 591-5240
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Mollie Carr
Title
Practice Manager
Phone
(757) 873-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

895 City Center Blvd
Suite 300
Newport News, VA 23606-3080

Mailing address

895 City Center Blvd
Suite 300
Newport News, VA 23606-3080
Phone (757) 873-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071029000187 VA Part B Supplier - Clinic/Group Practice 4587751227 Receives reassigned benefits from 5 practitioners
Practice locations: Newport News, VA; Williamsburg, VA

National Provider Directory

National Provider Directory

Locations

895 City Center Blvd
Ste 300
Newport News, VA 23606
Phone (757) 873-3500

5424A Discovery Park Blvd
Ste 202
Williamsburg, VA 23188

5207 Center St
Williamsburg, VA 23188
Phone (757) 873-3500

Practitioners & affiliated clinicians

Practitioners 6

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1639258478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 CITY CENTER BLVD",
            "address_2": "SUITE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063080",
            "telephone_number": "757-873-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 CITY CENTER BLVD",
            "address_2": "SUITE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063080",
            "telephone_number": "757-873-3500",
            "fax_number": "757-591-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER OF HAMPTON ROADS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "757-873-3500"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.