Tidewater Medical Transport, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0786425-9 Issued in VA

Legal business name

TIDEWATER MEDICAL TRANSPORT, INC

Practice address

573 Chautauqua Ave
Portsmouth, VA 23707-2103

Phone

(757) 399-0999

Fax

(757) 399-1999

NPI assigned

Dec 27, 2012

Last updated

Jan 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Dawn Smith

Title

President-Owner

Phone

(757) 399-0999

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Tidewater Medical Transport LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1699011312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 CHAUTAUQUA AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072103",
            "telephone_number": "757-399-0999",
            "fax_number": "757-399-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 CHAUTAUQUA AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072103",
            "telephone_number": "757-399-0999",
            "fax_number": "757-399-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER MEDICAL TRANSPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "757-399-0999"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "0786425-9",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D-U-N-S #",
            "identifier": "064756499",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA OFFICE OF EMERGENCY MEDICAL SERVICES  (VAOEMS)",
            "identifier": "01333",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699011312",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CORPORATION COMMISSION",
            "identifier": "0786425-9",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWAM",
            "identifier": "705193",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAGE CODE",
            "identifier": "712R4",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidewater Medical Transport LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tidewater Chiropractic Group P.C. (Tidewater Chiropractic)
• Tidewater Eye Center SPC
• Tidewater Eye Centers (Better Vision Eyeglass Center)
• Tidewater Eye Centers (Better Vision Eyeglass Center)
• Tidewater Eye Centers PC (Better Vision)
• Tidewater Medspa PLLC
• Tidewater Mobile Medicine, PLLC (Authentic Self Counseling Services)
• Tidewater Neurologists Inc, PC (Tidewater Neurologists and Sleep Disorder Specialist, inc)
• Tidewater Pediatrics, P.C.
• Tidewater Regional Group Home Commission

• Ambulance in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.