Active NPI
Amerigroup Corporation
- Health Maintenance Organization
- Virginia Beach, VA
National Provider Identifier
1962485540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- AMERIGROUP CORPORATION
- Practice address
- 4425 Corporation LN
Virginia Beach, VA 23462-3103 - Phone
- (757) 962-6452
- Fax
- (757) 222-2377
- NPI assigned
- Nov 28, 2005
- 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
- Mr. Jmaes Gorden Carlson
- Title
- President
- Phone
- (757) 962-6452
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
4425 Corporation LN
Virginia Beach, VA 23462-3103
Mailing address
4425 Corporation LN
Virginia Beach, VA 23462-3103
Phone (757) 962-6452
National Provider Directory
National Provider DirectoryLocations
4425 Corporation Ln
Virginia Beach, VA 23462
Phone (757) 473-2737
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Virginia Beach, VA
- NPI 1285827154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962485540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 CORPORATION LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623103",
"telephone_number": "757-962-6452",
"fax_number": "757-222-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 CORPORATION LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623103",
"telephone_number": "757-962-6452",
"fax_number": "757-222-2377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERIGROUP CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "JMAES",
"authorized_official_middle_name": "GORDEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-962-6452",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- American Association of Professional Eye Care Specialists Aapecs P C
- American Drug Center, Inc.
- American Home Health Care Services
- American Testing Solutions LLC
- Americare Medical Supplies & Services Inc
- Joanna Ames, APRN-BC
- Amethyst Care Group Inc
- Amiable Home Health Care LLC
- Bela Amin, PT
- Ekta Amin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.