Veronica Pegram

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0024183035 Issued in VA

Practice address

511 Beech St
Petersburg, VA 23803-4667

Phone

(804) 895-1982

NPI assigned

Mar 20, 2022

Last updated

Mar 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Commonwealth of Virginia Hiram W. Davis Medical Center

  dba Hiram W. Davis Medical Center

  • Hospitalist Physician
  • Petersburg, VA
  • NPI 1396809109
  Medicare reassignment NPD
• Commonwealth of VA Hiram W Davis Medical Center

  dba Hiram W Davis Medical Center

  • General Acute Care Hospital
  • Petersburg, VA
  • NPI 1174630081
  NPD

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1992454805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BEECH ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BEECH ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034667",
            "telephone_number": "804-895-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGRAM",
        "first_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024183035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearls Center of Hope, LLC
• Bonnie Jean Pearson, DDS
• Pediatric Associates of Petersburg PLC (Infant Jesus Children's Clinic)
• Charonta Quinette Pegram
• Gilda H. Pegram, CNS
• Steven Pendleton
• Peoples Family Dental Care
• Douglas Bernard Peoples, DDS
• Raven Pepper
• Susan Woodford Perez, LCSW

• Primary Care Nurse Practitioner in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.