Individual provider Active NPI

Alphonzo Smalls, PA-C

  • Medical Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1861751372
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110-004964 Issued in VA
Practice address
2101 Parks Ave Ste 305
Virginia Beach, VA 23451-4185
Phone
(757) 749-2308
Fax
(757) 447-3988
NPI assigned
May 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist Cardiovascular 246XC2903X 101858 VA
Medical Physician Assistant 363AM0700X 0110-004964 VA Primary

Addresses

Primary practice location

2101 Parks Ave Ste 305
Virginia Beach, VA 23451-4185

Mailing address

2101 Parks Ave Ste 305
Virginia Beach, VA 23451-4185
Phone (757) 749-2308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151231001805 VA Practitioner - Physician Assistant 2466438767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Medical Care PCGroup PAC ID 9133271661, 7 clinicians

Practice addresses (Care Compare)

Virginia Beach, VA 23451
Phone (757) 965-9465

Hospital & facility affiliations

  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

Merit-based Incentive Payment System (MIPS)

Final score
22.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
101858VAMDVascular Specialist/Technologist
0110-004964VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HR Medical Group CurrentSince Oct 1, 2020 Accepting new patients

Organizations & group practices 2

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 2

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1861751372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PARKS AVE STE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514185",
            "telephone_number": "757-749-2308",
            "fax_number": "757-447-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PARKS AVE STE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514185",
            "telephone_number": "757-749-2308",
            "fax_number": "757-447-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLS",
        "first_name": "ALPHONZO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "VA",
            "license": "101858",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-004964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.