Mgellan Complete Care Virginia

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MGELLAN COMPLETE CARE VIRGINIA

Practice address

3829 Gaskins Rd
Richmond, VA 23233-1437

Phone

(804) 762-6106

NPI assigned

Jun 26, 2018

Last updated

Jun 26, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

MAGELLAN HEALTH INCAs reported in NPPES

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

Authorized official

Name

Mr. Glen Christian Edwards

Title

Director of Operations

Phone

(804) 762-6106

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tabitha M Goode

  • Case Management Agency
  • South Chesterfield, VA
  • NPI 1932721164
  NPD

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1700371358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 GASKINS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331437",
            "telephone_number": "804-762-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 GASKINS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331437",
            "telephone_number": "804-762-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGELLAN COMPLETE CARE VIRGINIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGELLAN HEALTH INC",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "804-762-6106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Eric Meyers, PT
• John Frederick Meyers, MD
• Rebecca Lynn Meyers, FNP-C
• Sarah Elizabeth Meyers, PA-C
• Katherine Odette Meyersohn, LCSW
• MH Health Care Services, PC
• MH Health Care Services, PC
• MH Resource Solutions, LLC
• Julia Miao, M.D.
• Amanda Miceli, MSW

• Health Maintenance Organization in Richmond, VA
• Providers in Richmond, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.