Individual provider Active NPI

Daniel C. Lawrence, M.D.

  • Family Medicine Physician
  • Williamsburg, VA
National Provider Identifier
1992730642
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101033289 Issued in VA
Practice address
263 McLaws Cir
Suite 105
Williamsburg, VA 23185-5674
Phone
(757) 941-5600
Fax
(757) 564-0557
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101033289 VA Primary

Addresses

Primary practice location

263 McLaws Cir
Suite 105
Williamsburg, VA 23185-5674

Mailing address

301 Concourse Blvd
Suite 210
Glen Allen, VA 23059-5643
Phone (804) 433-1040

Other identifiers 9

IdentifierTypeStateIssuer
57537OtherVASOUTHERN HEALTH SERVICES
4065064OtherVAAETNA HMO
010017246MedicaidVA
101719OtherVAANTHEM BCBS OF VA
080191096OtherVARAILROAD MEDICARE
4065064OtherVAAETNA LIFE
3349759OtherVACIGNA
232426OtherVAMAMSI
43439OtherVASENTARA

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
I20070212000185 VA Practitioner - Family Practice 5496757098 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101033289VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Vpa PC Family Medicine CurrentSince Sep 17, 2012 Accepting new patients
Vpa PC Family Medicine CurrentSince Sep 17, 2012 Accepting new patients
Harness Health Pharmacy - Central Pharmacy Services LLC Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

48 Newmarket Sq
Newport News, VA 23605
Phone (757) 825-8030

1712 E Broad St
Richmond, VA 23223
Phone (804) 344-9848

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

6550 Hull St Rd
Richmond, VA 23224
Phone (804) 674-3425

5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1992730642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CONCOURSE BLVD",
            "address_2": "SUITE 210",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595643",
            "telephone_number": "804-433-1040",
            "fax_number": "804-553-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MCLAWS CIR",
            "address_2": "SUITE 105",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855674",
            "telephone_number": "757-941-5600",
            "fax_number": "757-564-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "DANIEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101033289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SERVICES",
            "identifier": "57537",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "4065064",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010017246",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VA",
            "identifier": "101719",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080191096",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE",
            "identifier": "4065064",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3349759",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "232426",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "43439",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.