Active NPI
Blair Williams Nein, NP
- Adult Medicine Physician
- Gloucester, VA
National Provider Identifier
1679165823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 0024179957
- Practice address
- 6609 Main St
Gloucester, VA 23061-5194 - Phone
- (804) 824-9153
- NPI assigned
- Feb 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 0024179957 | VA | Primary |
Addresses
Primary practice location
6609 Main St
Gloucester, VA 23061-5194
Mailing address
280 W Euclid Blvd
West Point, VA 23181-9378
Phone (804) 815-9918
Other names 1
- Sidney Blair Williams
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | williamssb3@mymail.vcu.edu |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Virginia Commonwealth University, School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6609 Main St
Gloucester, VA 23061-5194
Phone (804) 824-9153
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024179957 | VA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Access Internal Medicine LTD | Current | Accepting new patients |
Locations
6609 Main St
Gloucester, VA 23061
Phone (804) 824-9153
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Gloucester, VA
- NPI 1639476831
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverside Doctors Hospital Williamsburg
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1275893307
-
dba Brookside Home Health, an Amedisys Company
- Home Health Agency
- Williamsburg, VA
- NPI 1518912377
-
dba Riverside Regional Medical Center
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
dba Riverside Walter Reed Hospital
- General Acute Care Hospital
- Gloucester, VA
- NPI 1528162534
-
dba Sentara Williamsburg Regional Medical Center
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1679165823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 W EUCLID BLVD",
"city": "WEST POINT",
"state": "VA",
"postal_code": "231819378",
"telephone_number": "804-815-9918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6609 MAIN ST",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230615194",
"telephone_number": "804-824-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIN",
"first_name": "BLAIR",
"middle_name": "WILLIAMS",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "VA",
"license": "0024179957",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "williamssb3@mymail.vcu.edu",
"affiliation": "N",
"address_1": "6609 Main St",
"city": "Gloucester",
"state": "VA",
"country_code": "US",
"postal_code": "230615194",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SIDNEY",
"last_name": "WILLIAMS",
"middle_name": "BLAIR",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gloucester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.
- 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.