Organization Active NPI

JC Health Group PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1679271357
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JC HEALTH GROUP PLLC
Practice address
6500 Woodlake Village Cir
Midlothian, VA 23112-2200
Phone
(571) 523-5479
Fax
(804) 374-8889
NPI assigned
Feb 21, 2023
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Jessy A Nwuba, NURSE PRACTITIONERNPI 1003543984
Title
Owner
Phone
(571) 523-5479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Primary Care Nurse Practitioner 363LP2300X NU
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

6500 Woodlake Village Cir
Midlothian, VA 23112-2200

Mailing address

5401 Swift Fox PL
Moseley, VA 23120-2368
Phone (804) 274-0262

Other practice location 1

265 Franklin St Ste 1702
Boston, MA 02110-3144
Phone (804) 274-0262

Other practice location 2

609 Pennsylvania Ave
Brooklyn, NY 11207-6307
Phone (804) 274-0262

Other practice location 3

5 Garrett Ave
LA Plata, MD 20646-5960
Phone (804) 274-0262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230421000106 VA Part B Supplier - Clinic/Group Practice 4385009653 Receives reassigned benefits from 3 practitioners
Practice locations: Colonial Heights, VA
O20230727000729 MD Part B Supplier - Clinic/Group Practice 4385009653 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1679271357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SWIFT FOX PL",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231202368",
            "telephone_number": "804-274-0262",
            "fax_number": "804-374-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 WOODLAKE VILLAGE CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122200",
            "telephone_number": "571-523-5479",
            "fax_number": "804-374-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Franklin St Ste 1702",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021103144",
            "country_code": "US",
            "telephone_number": "804-274-0262",
            "fax_number": "804-374-8889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112076307",
            "country_code": "US",
            "telephone_number": "804-274-0262",
            "fax_number": "804-374-8889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Garrett Ave",
            "address_purpose": "LOCATION",
            "city": "LA Plata",
            "state": "MD",
            "postal_code": "206465960",
            "country_code": "US",
            "telephone_number": "804-274-0262",
            "fax_number": "804-374-8889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JC HEALTH GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "NWUBA",
        "authorized_official_first_name": "JESSY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-523-5479",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.