Christina Campbell Wills, D.O.
Individual provider Active NPI Family Medicine Physician · Quinton, VA
NPI 1922174341 · NPPES record last updated Jan 12, 2012
Key facts
- NPI
- 1922174341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 012202547 (VA)
- Practice address
- 1850 Pocahontas TRL
Quinton, VA 23141-1657 - Phone
- (804) 932-4388
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100414000864 | VA | Practitioner - Family Practice |
3971540576 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-111905 | IL | MD | Family Medicine Physician |
| 012202547 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chickahominy Family | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-111905 | IL | |
| Family Medicine Physician | 207Q00000X | 012202547 | VA | Yes |
Addresses
Primary practice location
1850 Pocahontas TRL
Quinton, VA 23141-1657
Mailing address
4630 S Laburnum Ave Ste B
Richmond, VA 23231-2441
Phone (804) 222-5511
Other providers in Quinton, VA
- Vicki L. Tibbs, DDS, PC
- Virginia Commonwealth University Health System Authority
- Virginia Commonwealth University Health System Authority
- Walgreen Co
- Erika Walker
- Esther Yoo
- Kenneth A Yorgey
All providers in Quinton, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.