Individual provider Active NPI

Lavonne Hairston, M.D.

  • Obstetrics & Gynecology Physician
  • Falls Church, VA
National Provider Identifier
1710272323
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101258295 Issued in VA
Practice address
6400 Arlington Blvd Ste 210
Falls Church, VA 22042-2349
Phone
(703) 531-3000
Fax
(703) 531-3142
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101258295 VA
Obstetrics & Gynecology Physician 207V00000X 0101258295 VA Primary

Addresses

Primary practice location

6400 Arlington Blvd Ste 210
Falls Church, VA 22042-2349

Mailing address

3108 Sharpie CT
VA Beach, VA 23456-3454
Phone (757) 322-0608

Other practice location 1

713 Volvo Pkwy
Ste 200
Chesapeake, VA 23320-1614
Phone (757) 547-4500

Other practice location 2

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other identifiers 2

IdentifierTypeStateIssuer
INTERNMedicaidLA
1710272323MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150819008457 VA Practitioner - Obstetrics/Gynecology 6507083532 Reassigns benefits to 1 organization
I20220208001675 DC Practitioner - Obstetrics/Gynecology 6507083532 Reassigns benefits to 1 organization
I20221011002985 NC Practitioner - Obstetrics/Gynecology 6507083532 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101258295VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Obstetrics & Gynecology CurrentSince Jan 10, 2022 Accepting new patients
Greenbrier Obstetrics and Gynecology, P. C. Obstetrics & Gynecology CurrentSince Aug 24, 2015 Accepting new patients
Opportunities Industrialization Center, Inc. CurrentSince Oct 3, 2022 Accepting new patients
Inova Health Care Services CurrentSince Jan 10, 2022 Accepting new patients
Opportunities Industrialization Center, Inc CurrentSince Oct 3, 2022 Accepting new patients
Opportunities Industrialization Center, Inc CurrentSince Oct 3, 2022 Accepting new patients
Opportunities Industrialization Center, Inc Past Accepting new patients

Locations

300 N Grace St
Rocky Mount, NC 27804
Phone (252) 210-9856

1041 Noell Ln
#B
Rocky Mount, NC 27804
Phone (252) 962-3450

713 Volvo Pkwy
Ste 200
Chesapeake, VA 23320
Phone (757) 282-4150

6400 Arlington Blvd
Ste 210
Falls Church, VA 22042
Phone (703) 531-3000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: lavonne.hairston@335000925634564.direct.elationemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1710272323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 SHARPIE CT",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234563454",
            "telephone_number": "757-322-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 ARLINGTON BLVD STE 210",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422349",
            "telephone_number": "703-531-3000",
            "fax_number": "703-531-3142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Volvo Pkwy",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201614",
            "country_code": "US",
            "telephone_number": "757-547-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "LAVONNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101258295",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101258295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "INTERN",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710272323",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.