Akpomevigho A Avbovbo

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101274912 Issued in VA

Practice address

2100 Wilborn Ave
South Boston, VA 24592-1628

Phone

(434) 517-8022

NPI assigned

Apr 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Akpomevigho Aishatu Avbovbo Other name

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aavbovbo768243@direct.sentara.net

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

• Halifax Regional Hospital, Inc.

  dba Sentara Halifax Regional Hospital

  • General Acute Care Hospital
  • South Boston, VA
  • NPI 1588668842
  Medicare reassignment NPD
• Halifax Regional Hospital, Inc

  dba Sentara Gynecology Specialists

  • Rural Health Clinic/Center
  • South Boston, VA
  • NPI 1033728803
  NPD
• Kidsville Pediatrics PLLC

  • Pediatric Critical Care Medicine Physician
  • Mansfield, TX
  • NPI 1689264996

  Pediatrics

  NPD
• Halifax Regional Hospital, Inc

  dba Sentara Clarksville Family Medicine

  • Rural Health Clinic/Center
  • Clarksville, VA
  • NPI 1154930824
  NPD (past)

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1649732884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921628",
            "telephone_number": "434-517-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921628",
            "telephone_number": "434-517-8022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Coit Rd Ste 1604",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750716661",
            "country_code": "US",
            "telephone_number": "469-885-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVBOVBO",
        "first_name": "AKPOMEVIGHO",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V8933",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101274912",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AKPOMEVIGHO",
            "last_name": "AVBOVBO",
            "middle_name": "AISHATU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen Anderson, PHARMD
• Taishona Katavia Anderson, RBT
• Gohar Arslan, M.D.
• Melissa P Arthur, NP
• Atlantic Medical Inc
• Gurnam S Bajwa, MD
• Jessica Lynn Balducci
• Maggie Ford Bane, NP-C
• Banister River Emergency Physicians LLC
• Teresa Lynn Barker, FNP-C

• Pediatrics Physician in South Boston, VA
• Providers in South Boston, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.