SENTARA MEDICAL GROUP NPI 1346428976

NPI Information

  • NPI: 1346428976
  • Provider Name: SENTARA MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SENTARA FAMILY MEDICINE PHYSICIANS
  • CLIA Number: 49D2020874
  • Address: 5659 PARKWAY DR
    SUITE 210
    GLOUCESTER, VA
    ZIP 23061
  • Phone: (804) 210-1025

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NPI Details

SENTARA MEDICAL GROUP is a family medicine in Gloucester, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SENTARA MEDICAL GROUP NPI is 1346428976. The provider is registered as an organization entity type.
The provider Is Doing Business As Sentara Family Medicine Physicians.

The provider's business location address is:

5659 PARKWAY DR
SUITE 210
GLOUCESTER, VA
ZIP 23061-792
Phone: (804) 210-1025
Fax: (804) 210-1029

The provider's authorized official is Cindy A Taylor .
The authorized official title is Manager and has the following contact phone number (757) 252-3344.

The CLIA number assigned to this NPI record is 49D2020874 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 10/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10597050076OTHERVIRGINIADME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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