Individual provider Active NPI

Amy Lam Gilligan

  • Family Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1952164709
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024190904 Issued in VA
Practice address
221 Mount Pleasant Rd Ste a
Chesapeake, VA 23322-4155
Phone
(757) 312-9444
Fax
(757) 447-3500
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024190904 VA Primary

Addresses

Primary practice location

221 Mount Pleasant Rd Ste a
Chesapeake, VA 23322-4155

Mailing address

2120 Chesterfield Loop
Chesapeake, VA 23323-6668

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
I20250117002044 VA Practitioner - Nurse Practitioner 8921537044 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Peak Wellness and Aesthetics, LLCGroup PAC ID 6103364153, 8 clinicians
Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

221 Mount Pleasant Rd
Suite a
Chesapeake, VA 23322-4155
Phone (757) 312-9444

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024190904VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Post Acute & Long Term Care PLLC Family CurrentSince Jul 30, 2025 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Jul 30, 2025 Accepting new patients
Peak Wellness and Aesthetics LLC CurrentSince Oct 13, 2024 Accepting new patients
Old Dominion University Family PastSince Feb 1, 2024 Accepting new patients
Chesapeake Weight Loss Consultants PLLC PastSince Aug 25, 2024 Accepting new patients

Locations

221 Mount Pleasant Rd
Ste A
Chesapeake, VA 23322
Phone (757) 312-9444

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

Organizations & group practices 5

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1952164709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 CHESTERFIELD LOOP",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233236668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MOUNT PLEASANT RD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224155",
            "telephone_number": "757-312-9444",
            "fax_number": "757-447-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIGAN",
        "first_name": "AMY",
        "middle_name": "LAM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024190904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.