Organization Active NPI

Charles F. Lovell, Jr., M.D., Facp, P.C.

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1831356948
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27439 Issued in VA
Legal business name
CHARLES F. LOVELL, JR., M.D., FACP, P.C.
Practice address
1401 Tidewater Dr Ste 1
Norfolk, VA 23504-2840
Phone
(757) 623-3038
Fax
(757) 623-0101
NPI assigned
May 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Dr. Charles F. Lovell Jr., M.D.NPI 1174629448
Title
President/Physician
Phone
(757) 623-3038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 27439 VA Primary

Addresses

Primary practice location

1401 Tidewater Dr Ste 1
Norfolk, VA 23504-2840

Mailing address

1401 Tidewater Dr Ste 1
Norfolk, VA 23504-2840
Phone (757) 623-3038

Other identifiers 1

IdentifierTypeStateIssuer
006074936MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630001023 VA Part B Supplier - Clinic/Group Practice 6305823089 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0229752Charles F Lovell Jr MD1401 Tidewater Dr Suite 1, Norfolk, VA 23504Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

1401 Tidewater Dr
Ste 1
Norfolk, VA 23504
Phone (757) 623-0095

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1831356948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 TIDEWATER DR STE 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042840",
            "telephone_number": "757-623-3038",
            "fax_number": "757-623-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 TIDEWATER DR STE 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042840",
            "telephone_number": "757-623-3038",
            "fax_number": "757-623-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F. LOVELL, JR., M.D., FACP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-18",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "757-623-3038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "27439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006074936",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.