Individual provider Active NPI

Kelsey Jordana Garner, PA-C

  • Medical Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1962985655
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110-006320 Issued in VA
Practice address
725 Volvo Pkwy
Chesapeake, VA 23320-1621
Phone
(757) 842-4100
Fax
(757) 410-3562
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-006320 VA
Surgical Physician Assistant 363AS0400X 0110-006320 VA
Medical Physician Assistant 363AM0700X 0110-006320 VA Primary

Addresses

Primary practice location

725 Volvo Pkwy
Chesapeake, VA 23320-1621

Mailing address

3241 Western Branch Blvd Ste a
Chesapeake, VA 23321-5260
Phone (757) 686-3508

Other practice location 1

3060 Godwin Blvd
Suffolk, VA 23434-8274
Phone (757) 935-5310

Other practice location 2

2088 S Independence Blvd Ste 103
Virginia Beach, VA 23453-4790
Phone (757) 275-9331

Other practice location 3

6632 Indian River Rd
VA Beach, VA 23464-3442
Phone (757) 424-4300

Other practice location 4

1168 First Colonial Rd
Virginia Beach, VA 23454-2444
Phone (757) 352-2020

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
I20190118001464 VA Practitioner - Physician Assistant 3870839459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

1024 S Battlefield Blvd
Chesapeake, VA 23322-4215
Phone (757) 410-4488

111 Mill Creek Pkwy
Suite 300
Chesapeake, VA 23323-1098
Phone (757) 558-8210

154 Burnetts Way
Suite 101
Suffolk, VA 23434-8366
Phone (757) 609-3380

1708 Old Donation Pkwy
Virginia Beach, VA 23454-3064
Phone (757) 419-3000

2088 S Independence Blvd
Suite 103
Virginia Beach, VA 23453-4790
Phone (757) 275-9331

3060 Godwin Blvd
Suffolk, VA 23434-8274
Phone (757) 923-9660

4868 Bridge Rd
Suffolk, VA 23435-2048
Phone (757) 483-7113

6632 Indian River Rd
Suite 103
Virginia Beach, VA 23464-3442
Phone (757) 424-4442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0110-006320VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Dec 1, 2018 Accepting new patients
Bayview Physician Services, PC CurrentSince Dec 1, 2018 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients
Nowcare Physicians Past Accepting new patients

Locations

1024 Battlefield Blvd S
Chesapeake, VA 23322
Phone (757) 410-4488

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

725 Volvo Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 548-0076

725 Volvo Pkwy
Chesapeake, VA 23320
Phone (757) 548-0076

3060 Godwin Blvd
Suffolk, VA 23434
Phone (757) 923-9660

1168 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 352-2020

1708 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 395-5300

2088 S Independence Blvd
Ste 103
Virginia Beach, VA 23453
Phone (757) 275-9331

Interoperability endpoints

  • Direct secure messaging: kelsey.garner@bayview.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1962985655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 WESTERN BRANCH BLVD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215260",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 VOLVO PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201621",
            "telephone_number": "757-842-4100",
            "fax_number": "757-410-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3060 Godwin Blvd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348274",
            "country_code": "US",
            "telephone_number": "757-935-5310",
            "fax_number": "757-935-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2088 S Independence Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234534790",
            "country_code": "US",
            "telephone_number": "757-275-9331",
            "fax_number": "757-416-7656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6632 Indian River Rd",
            "address_purpose": "LOCATION",
            "city": "VA Beach",
            "state": "VA",
            "postal_code": "234643442",
            "country_code": "US",
            "telephone_number": "757-424-4300",
            "fax_number": "757-523-0632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1168 First Colonial Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542444",
            "country_code": "US",
            "telephone_number": "757-352-2020",
            "fax_number": "757-352-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "KELSEY",
        "middle_name": "JORDANA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006320",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110-006320",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-006320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.