Pentus Health Primary Care WB LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PENTUS HEALTH PRIMARY CARE WB LLC

Practice address

1116 Professional Dr Ste a
Williamsburg, VA 23185-3378

Phone

(844) 973-6887

NPI assigned

Nov 7, 2025

Organization subpart

No

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

Authorized official

Name

Ivan Reyes

Title

Coo

Phone

(407) 756-3474

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Wyatt Miles, D.O.

  • Anesthesiology Physician
  • Ranson, WV
  • NPI 1528263647
  NPD

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1982574752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 LEE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897217",
            "telephone_number": "844-973-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 PROFESSIONAL DR STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853378",
            "telephone_number": "844-973-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTUS HEALTH PRIMARY CARE WB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "407-756-3474"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Plastic Surgery Center
• Peninsula Plastic Surgery Center
• Peninsula Plastic Surgery Center-ASC
• Peninsula Psychotherapy Center
• Peninsula Surgery Center II LLC
• Andres Peralta, FNP-C
• Sonya Nadine Peretti-Hull, LPC
• Alayna Maria Perez, LMT
• Lisa M Perez, L.C.S.W
• Performance Chiropractic, LLC

• Multi-Specialty Clinic/Center in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.