Organization Active NPI

Adult and Pediatric Medical Associates, PC

  • Primary Care Clinic/Center
  • Chesapeake, VA
National Provider Identifier
1871709899
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101224920 Issued in VA
Legal business name
ADULT AND PEDIATRIC MEDICAL ASSOCIATES, PC
Practice address
3800 Poplar Hill Rd Ste a
Chesapeake, VA 23321-5522
Phone
(757) 484-2001
Fax
(757) 484-2182
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Vernis L. Beverly Jr.NPI 1508821174
Title
Owner
Phone
(757) 484-2001

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
Primary Care Clinic/Center 261QP2300X 0101224920 VA Primary

Addresses

Primary practice location

3800 Poplar Hill Rd Ste a
Chesapeake, VA 23321-5522

Mailing address

3800 Poplar Hill Rd Ste a
Chesapeake, VA 23321-5522
Phone (757) 484-2001

Other practice location 1

1701 Church St Ste B
Norfolk, VA 23504-2304
Phone (757) 484-2001

Other identifiers 2

IdentifierTypeStateIssuer
010060169MedicaidVA
010060133MedicaidVA

Practitioners 3

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

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
49D1025528Adult and Pediatric Medical Associates, PC1701 Church Street, Suite B, Norfolk, VA 23504Certificate of waiverOct 6, 2027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623000007 VA Part B Supplier - Clinic/Group Practice 4789669706 Receives reassigned benefits from 2 practitioners
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

3800 Poplar Hill Rd
Ste A
Chesapeake, VA 23321
Phone (757) 484-2001

1701 Church St
Ste B
Norfolk, VA 23504
Phone (757) 484-2001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8293/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1871709899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 POPLAR HILL RD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215522",
            "telephone_number": "757-484-2001",
            "fax_number": "757-484-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 POPLAR HILL RD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215522",
            "telephone_number": "757-484-2001",
            "fax_number": "757-484-2182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Church St Ste B",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235042304",
            "country_code": "US",
            "telephone_number": "757-484-2001",
            "fax_number": "757-484-2182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADULT AND PEDIATRIC MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "BEVERLY",
        "authorized_official_first_name": "VERNIS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-484-2001",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101224920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010060169",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010060133",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.