Active NPI
Jacqueline Platamone, DO
- Obstetrics & Gynecology Physician
- Henrico, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0102207919
- Practice address
- 12129 Graham Meadows Dr
Henrico, VA 23233-6661 - Phone
- (804) 288-4084
- Fax
- (804) 282-2601
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0102207919 | VA | Primary |
Addresses
Primary practice location
12129 Graham Meadows Dr
Henrico, VA 23233-6661
Mailing address
7130 Glen Forest Dr Ste 101
Richmond, VA 23226-3754
Phone (804) 662-6138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12129 Graham Meadows Dr
Richmond, VA 23233-6661
Phone (804) 288-4084
13801 St Francis Blvd
Suite 100
Midlothian, VA 23114-3206
Phone (804) 288-4084
6600 W Broad St
Suite 100
Richmond, VA 23230-1709
Phone (804) 288-4087
7515 Right Flank Rd
Mechanicsville, VA 23116-3818
Phone (804) 288-4084
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
8644 Sudley Rd
#220
Manassas, VA 20110
12129 Graham Meadows Dr
Richmond, VA 23233
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- jacqueline.platamone.1@8042.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, Obstetrics & Gynecology
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1720540305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7130 GLEN FOREST DR STE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263754",
"telephone_number": "804-662-6138",
"fax_number": "804-282-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12129 GRAHAM MEADOWS DR",
"city": "HENRICO",
"state": "VA",
"postal_code": "232336661",
"telephone_number": "804-288-4084",
"fax_number": "804-282-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATAMONE",
"first_name": "JACQUELINE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0102207919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.