NPIMap

Organization Active NPI

Bon Secours Medical Group Richmond Primary Care LLC

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1861050635
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BON SECOURS MEDICAL GROUP RICHMOND PRIMARY CARE LLC
Practice address
8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone
(804) 627-5573
Fax
(866) 449-0896
NPI assigned
Jun 5, 2019
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Cassie Lowe
Title
System Director, Payer Delegation &
Phone
(513) 952-5210

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Family Medicine Physician 207Q00000X NU Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU
Internal Medicine Physician 207R00000X NU
Sports Medicine (Internal Medicine) Physician 207RS0010X NU
Pediatrics Physician 208000000X NU
Home Health Agency 251E00000X NU
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

8580 Magellan Pkwy
Richmond, VA 23227-1149

Mailing address

4600 McAuley PL Ste 600
Blue Ash, OH 45242-4778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191203000156 VA Part B Supplier - Clinic/Group Practice 3476986613 Receives reassigned benefits from 146 practitioners
Practice locations: Midlothian, VA; North Chesterfield, VA; Powhatan, VA; Richmond, VA; South Chesterfield, VA; Tappahannock, VA; Petersburg, VA; Mechanicsville, VA…

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours Medical Group Richmond Primary Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

281 E Hundred Rd
Chester, VA 23836
Phone (804) 452-1635

215 Temple Ave
Colonial Hgts, VA 23834
Phone (804) 526-8411

10571 Telegraph Rd
Ste 130
Glen Allen, VA 23059
Phone (804) 266-7611

1041 Sharon Rd
Ste 205
King William, VA 23086
Phone (804) 746-1677

8200 Meadowbridge Rd
Ste 306
Mechanicsville, VA 23116
Phone (804) 764-1253

9113 Dickey Dr
Mechanicsville, VA 23116
Phone (804) 559-7280

7347 Bell Creek Rd
Ste 100
Mechanicsvlle, VA 23111
Phone (804) 730-4690

8220 Meadowbridge Rd
Ste 203
Mechanicsvlle, VA 23116
Phone (804) 226-2444

13710 St Francis Blvd
Ste 510
Midlothian, VA 23114
Phone (804) 423-5050

50 Medical Park Blvd
Ste C
Petersburg, VA 23805
Phone (804) 733-8821

101 Cowardin Ave
Ste 305
Richmond, VA 23224
Phone (804) 233-9396

12320 W Broad St
Ste 204
Richmond, VA 23233
Phone (804) 612-2980

4744 Finlay St
Richmond, VA 23231
Phone (804) 864-9600

9220 Forest Hill Ave
Ste A1
Richmond, VA 23235
Phone (804) 560-8838

Practitioners & affiliated clinicians

Practitioners 151

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 151

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1861050635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MCAULEY PL STE 600",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 MAGELLAN PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271149",
            "telephone_number": "804-627-5573",
            "fax_number": "866-449-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS MEDICAL GROUP RICHMOND PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR, PAYER DELEGATION &",
        "authorized_official_telephone_number": "513-952-5210"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.