NPIMap

Organization Active NPI

Primary Care Specialists, Inc

  • Family Medicine Physician
  • Norfolk, VA
National Provider Identifier
1932507985
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE SPECIALISTS, INC
Practice address
930 Majestic Ave
Suite 220
Norfolk, VA 23504-4055
Phone
(757) 942-8020
Fax
(757) 942-8015
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Authorized official

Name
Dr. James Edward Newby II, M.DNPI 1265524813
Title
Board of Managers
Phone
(757) 942-8020

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X VA Primary

Addresses

Primary practice location

930 Majestic Ave
Suite 220
Norfolk, VA 23504-4055

Mailing address

930 Majestic Ave
Suite 220
Norfolk, VA 23504-4055
Phone (757) 942-8020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141229000345 VA Part B Supplier - Clinic/Group Practice 3072617380 Receives reassigned benefits from 3 practitioners
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1932507985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MAJESTIC AVE",
            "address_2": "SUITE 220",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235044055",
            "telephone_number": "757-942-8020",
            "fax_number": "757-942-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAJESTIC AVE",
            "address_2": "SUITE 220",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235044055",
            "telephone_number": "757-942-8020",
            "fax_number": "757-942-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "BOARD OF MANAGERS",
        "authorized_official_telephone_number": "757-942-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.