Individual provider Active NPI

Charles Gregory Lockhart, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Newport News, VA
National Provider Identifier
1972559052
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
0101039560 Issued in VA
Practice address
1000 Old Denbigh Blvd Ste 1020a
Newport News, VA 23602
Phone
(757) 875-2009
Fax
(757) 369-1042
NPI assigned
May 26, 2006
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101039560 VA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 0101039560 VA Primary

Addresses

Primary practice location

1000 Old Denbigh Blvd Ste 1020a
Newport News, VA 23602

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other practice location 1

8220 Meadowbridge Rd
MOB I, Suite 306
Mechanicsville, VA 23116-2336
Phone (804) 764-7910

Other practice location 2

8220 Meadowbridge Rd
MOB I, Suite 306
Mechanicsville, VA 23116-2336
Phone (804) 764-7910

Other identifiers 2

IdentifierTypeStateIssuer
C06115OtherVAGROUP PTAN
007400331MedicaidVA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000568 VA Practitioner - Hospice/Palliative CarePractitioner - Thoracic Surgery 1658428057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101039560VAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Jul 1, 2019 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 2019 Accepting new patients
Cardiac & Thoracic Surgical Associates, LTD Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Bon Secours Memorial Regional Medical Center Past Accepting new patients

Locations

1000 Old Denbigh Blvd
Ste 1020A
Newport News, VA 23602
Phone (757) 875-2009

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

856 J Clyde Morris Blvd
Ste C
Newport News, VA 23601
Phone (757) 316-5725

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1972559052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OLD DENBIGH BLVD STE 1020A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23602",
            "telephone_number": "757-875-2009",
            "fax_number": "757-369-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8220 Meadowbridge Rd",
            "address_2": "MOB I, Suite 306",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162336",
            "country_code": "US",
            "telephone_number": "804-764-7910",
            "fax_number": "804-764-7914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8220 Meadowbridge Rd",
            "address_2": "MOB I, Suite 306",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162336",
            "country_code": "US",
            "telephone_number": "804-764-7910",
            "fax_number": "804-764-7914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "CHARLES",
        "middle_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101039560",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0101039560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007400331",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.