Active NPI
Joyce Lynn Lea, DO
- Family Medicine Physician
- Carrollton, VA
National Provider Identifier
1720041205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102049953
- Practice address
- 13609 Carrollton Blvd
Suite 11
Carrollton, VA 23314-3214 - Phone
- (757) 238-8751
- Fax
- (757) 238-8750
- NPI assigned
- Apr 7, 2006
- Last updated
- Jan 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102049953 | VA | Primary |
Addresses
Primary practice location
13609 Carrollton Blvd
Suite 11
Carrollton, VA 23314-3214
Mailing address
7007 Harbour View Blvd
Suite 108
Suffolk, VA 23435-2719
Phone (757) 215-2745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102049953 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Immaculate Hospital LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1538535463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1720041205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7007 HARBOUR VIEW BLVD",
"address_2": "SUITE 108",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234352719",
"telephone_number": "757-215-2745",
"fax_number": "757-215-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13609 CARROLLTON BLVD",
"address_2": "SUITE 11",
"city": "CARROLLTON",
"state": "VA",
"postal_code": "233143214",
"telephone_number": "757-238-8751",
"fax_number": "757-238-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEA",
"first_name": "JOYCE",
"middle_name": "LYNN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102049953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.