Active NPI
Adult and Pediatric Medical Associates, PC
- Primary Care Clinic/Center
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 0101224920
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vernis L. Beverly Jr.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010060169 | Medicaid | VA | |
| 010060133 | Medicaid | VA |
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Norfolk, VA
- NPI 1619950235
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1025528 | Adult and Pediatric Medical Associates, PC | Certificate of waiver | Oct 6, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040623000007 | VA | Part B Supplier - Clinic/Group Practice | 4789669706 |
Receives reassigned benefits from 2 practitioners Practice locations: Chesapeake, VA |
National Provider Directory
National Provider DirectoryLocations
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
- 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.