Organization Active NPI

Fishing Point Health Care LLC

Doing business as Nansemond Indian Nation

  • General Practice Physician
  • Portsmouth, VA
National Provider Identifier
1679279046
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FISHING POINT HEALTH CARE LLC
Doing business as
Nansemond Indian Nation
Practice address
2929 London Blvd
Portsmouth, VA 23707-3405
Phone
(757) 255-9317
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Suzzi Williams
Title
Credentialling Manager
Phone
(801) 949-4021

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Federal Public Health Clinic/Center 261QP0904X
Primary Care Clinic/Center 261QP2300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Recovery Care Clinic/Center 261QR0800X
Clinical Medical Laboratory 291U00000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Pharmacy 333600000X

Addresses

Primary practice location

2929 London Blvd
Portsmouth, VA 23707-3405

Mailing address

500 E Main St Ste 1300
Norfolk, VA 23510-2206
Phone (757) 861-9010

Other practice location 1

860 Greenbrier Cir Ste 503
Chesapeake, VA 23320-2663
Phone (757) 861-9050

Other practice location 2

732 Thimble Shoals Blvd
Newport News, VA 23606-4218
Phone (757) 861-9010

Other practice location 3

1100 N Miami Blvd Ste 613
Durham, NC 27703-2479
Phone (984) 397-0501

Other practice location 4

2856 Forehand Dr
Chesapeake, VA 23323-2006
Phone (757) 861-9010

Other names 1

  • Nansemond Indian Nation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260226000184 TX Part B Supplier - Clinic/Group Practice 1254812381 Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, VA

National Provider Directory

National Provider Directory

Locations

1100 N Miami Blvd
Ste 613
Durham, NC 27703
Phone (984) 397-0501

860 Greenbrier Cir
Ste 503
Chesapeake, VA 23320
Phone (757) 861-9050

2856 Forehand Dr
Chesapeake, VA 23323
Phone (757) 487-9400

500 E Main St
Ste 1301
Norfolk, VA 23510
Phone (757) 861-9020

500 E Main St
Ste 1300
Norfolk, VA 23510

1001 Pembroke Ln
Suffolk, VA 23434

Practitioners & affiliated clinicians

Practitioners 8

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1679279046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST STE 1300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102206",
            "telephone_number": "757-861-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 LONDON BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073405",
            "telephone_number": "757-255-9317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Greenbrier Cir Ste 503",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233202663",
            "country_code": "US",
            "telephone_number": "757-861-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "732 Thimble Shoals Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064218",
            "country_code": "US",
            "telephone_number": "757-861-9010",
            "fax_number": "757-861-9011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 N Miami Blvd Ste 613",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277032479",
            "country_code": "US",
            "telephone_number": "984-397-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2856 Forehand Dr",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233232006",
            "country_code": "US",
            "telephone_number": "757-861-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FISHING POINT HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SUZZI",
        "authorized_official_title_or_position": "CREDENTIALLING MANAGER",
        "authorized_official_telephone_number": "801-949-4021"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nansemond Indian Nation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.