Neurology Associates of Suffolk, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROLOGY ASSOCIATES OF SUFFOLK, PLLC

Doing business as

Neurology and Sleep Associates

Practice address

5839 Harbour View Blvd Ste 201
Suffolk, VA 23435-3797

Phone

(757) 967-0406

Fax

(757) 967-0675

NPI assigned

Oct 16, 2009

Organization subpart

No

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

Authorized official

Name

Kimberly Holland Golden

Title

Administrator

Phone

(757) 967-0406

Specialties & licenses 5

Addresses

Other names 1

• Neurology and Sleep Associates Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: rajiv.nanavaty@suffolkneuro.directbygreenway.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71433

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deja Davis, DNP

  • Nurse Practitioner
  • Suffolk, VA
  • NPI 1205465986
  Medicare reassignment Care Compare group NPD
• April Channing Lust, P.A.

  • Physician Assistant
  • Suffolk, VA
  • NPI 1013996222
  Medicare reassignment Care Compare group NPD
• Rajiv B Nanavaty, M.D.

  • Neurology Physician
  • Suffolk, VA
  • NPI 1013937564
  Medicare reassignment Care Compare group NPD
• Lacey Dooley Lyle, F.N.P.

  • Nurse Practitioner
  • Suffolk, VA
  • NPI 1215356464
  Medicare reassignment Care Compare group
• Zhila Joan Samareh, FNP

  • Nurse Practitioner
  • Suffolk, VA
  • NPI 1629703855
  Medicare reassignment NPD
• Nellie Sue Chamblee, FNP-C

  • Family Nurse Practitioner
  • Colonial Heights, VA
  • NPI 1508199860
  NPD (past)
• Charles Steven Coleman, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Suffolk, VA
  • NPI 1326061136
  NPD (past)
• Emily Massaro, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1518418961
  NPD (past)

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972838498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY",
            "address_2": "SUITE 320",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "757-934-1900",
            "fax_number": "757-925-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5839 HARBOUR VIEW BLVD STE 201",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353797",
            "telephone_number": "757-967-0406",
            "fax_number": "757-967-0675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Burnetts Way",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348168",
            "country_code": "US",
            "telephone_number": "757-934-1900",
            "fax_number": "757-925-6719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF SUFFOLK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "HOLLAND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-967-0406"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rajiv.nanavaty@suffolkneuro.directbygreenway.com",
            "affiliation": "N",
            "endpointDescription": "NAOS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5839 Harbour View Blvd Ste 201",
            "city": "Suffolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234353797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Neurology and Sleep Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurology Physician in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.