Individual provider Active NPI

Courtney Ann Conklin, MD

  • Sports Medicine (Family Medicine) Physician
  • Newport News, VA
National Provider Identifier
1720540370
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
0101270570 Issued in VA
Practice address
12200 Warwick Blvd Ste 310
Newport News, VA 23601-2344
Phone
(757) 534-9988
Fax
(757) 534-5688
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 0101270570 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

12200 Warwick Blvd Ste 310
Newport News, VA 23601-2344

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other practice location 1

19375 Benns Grant Blvd
Smithfield, VA 23430-6393
Phone (757) 534-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210618000787 VA Practitioner - Orthopedic SurgeryPractitioner - Family Practice 1456680743 Reassigns benefits to 1 organization
I20220804001194 AL Practitioner - Family Practice 1456680743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

13478 Carrollton Blvd D-E
Carrollton, VA 23314-3208
Phone (757) 238-7043

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143
  • Riverside Smithfield Hospital Hospital, Smithfield, VA, CCN 490149

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Sep 30, 2024 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Jul 1, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2023 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Jul 1, 2022 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services, Inc. CurrentSince Sep 30, 2024 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

13478 Carrollton Blvd
Ste D
Carrollton, VA 23314
Phone (757) 238-7043

12200 Warwick Blvd
Ste 310
Newport News, VA 23601
Phone (757) 534-9988

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

19375 Benns Grant Blvd
Smithfield, VA 23430
Phone (757) 674-8700

Interoperability endpoints

  • Direct secure messaging: cconklin124739@direct.rivhs.com
  • Direct secure messaging: cconklin@direct.uabmedicine.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1773792000000",
    "number": "1720540370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 WARWICK BLVD STE 310",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236012344",
            "telephone_number": "757-534-9988",
            "fax_number": "757-534-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19375 Benns Grant Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "VA",
            "postal_code": "234306393",
            "country_code": "US",
            "telephone_number": "757-534-9988",
            "fax_number": "757-674-8810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "VA",
            "license": "0101270570",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.