Organization Active NPI

Emc Health, LLC

  • Medical Specialty Clinic/Center
  • Petersburg, VA
National Provider Identifier
1982321006
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
EMC HEALTH, LLC
Practice address
849 S Sycamore St Ste a
Petersburg, VA 23803-5801
Phone
(804) 715-1031
Fax
(804) 203-4722
NPI assigned
Oct 20, 2022
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Evelyn Maria CasonNPI 1235458233
Title
Owner
Phone
(804) 715-1031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

849 S Sycamore St Ste a
Petersburg, VA 23803-5801

Mailing address

849 S Sycamore St Ste a
Petersburg, VA 23803-5801
Phone (804) 715-1031

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL emchealth2021@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221206002938 VA Part B Supplier - Clinic/Group Practice 1052780434 Receives reassigned benefits from 1 practitioner
Practice locations: Petersburg, VA

National Provider Directory

National Provider Directory

Locations

2600 Memorial Ave
Ste 201B
Lynchburg, VA 24501
Phone (434) 528-0896

849 S Sycamore St
Ste A
Petersburg, VA 23803
Phone (804) 715-1031

921 Hull St
Richmond, VA 23224
Phone (804) 230-4913

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1982321006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 S SYCAMORE ST STE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035801",
            "telephone_number": "804-715-1031",
            "fax_number": "804-203-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 S SYCAMORE ST STE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035801",
            "telephone_number": "804-715-1031",
            "fax_number": "804-203-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "CASON",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-715-1031"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "emchealth2021@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "849 S Sycamore St Ste A",
            "city": "Petersburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238035801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.