| Savida Health, Pc | |
|
1455 Old Bridge Rd Ste 203 Woodbridge VA 22192-2727 | |
| (833) 356-4080 | |
| Not Available |
| Full Name | Savida Health, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1455 Old Bridge Rd Ste 203, Woodbridge, Virginia |
| Authorized Official Name and Position | Kristy Ann Wright (VP REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 6152195285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Savida Health, Pc Po Box 291943 Nashville TN 37229-1943 Ph: (833) 952-0829 | Savida Health, Pc 1455 Old Bridge Rd Ste 203 Woodbridge VA 22192-2727 Ph: (833) 356-4080 |
| NPI Number | 1548739170 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Medicare PECOS PAC ID | 4082809967 |
|---|---|
| Medicare Enrollment ID | O20190426001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548739170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Amalia C Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447398730 PECOS PAC ID: 5890758494 Enrollment ID: I20041104001005 |
| Provider Name | Robert J Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053392399 PECOS PAC ID: 7810933629 Enrollment ID: I20050701000515 |
| Provider Name | Holly Ann Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033221379 PECOS PAC ID: 3971524174 Enrollment ID: I20051215000525 |
| Provider Name | James Matthew Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528039054 PECOS PAC ID: 6507888435 Enrollment ID: I20051220000715 |
| Provider Name | Gary F Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093731028 PECOS PAC ID: 2163467069 Enrollment ID: I20090217000169 |
| Provider Name | Shannon R Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053571562 PECOS PAC ID: 0446430383 Enrollment ID: I20110209000375 |
| Provider Name | Tara R Prater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982010328 PECOS PAC ID: 4688894736 Enrollment ID: I20141013001764 |
| Provider Name | Andrea C Kendall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982911038 PECOS PAC ID: 2961623830 Enrollment ID: I20141016002838 |
| Provider Name | Rebecca Williams Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316347354 PECOS PAC ID: 2961623715 Enrollment ID: I20141021001566 |
| Provider Name | Stephanie M Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427309855 PECOS PAC ID: 5496909848 Enrollment ID: I20141231002069 |
| Provider Name | Melissa Anne Dye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881092211 PECOS PAC ID: 2466764972 Enrollment ID: I20150710002058 |
| Provider Name | Jessica Jean Pucillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780045377 PECOS PAC ID: 8628342771 Enrollment ID: I20170928000259 |
| Provider Name | Michelle Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841721891 PECOS PAC ID: 0840565289 Enrollment ID: I20171010003803 |
| Provider Name | Christina Millinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104331396 PECOS PAC ID: 3577823541 Enrollment ID: I20180213000122 |
| Provider Name | Sara M Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689188864 PECOS PAC ID: 9931460730 Enrollment ID: I20180219000224 |
| Provider Name | Annie G Sensabaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558853754 PECOS PAC ID: 6204184963 Enrollment ID: I20180813001642 |
| Provider Name | Cynthia Davis Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982174900 PECOS PAC ID: 7416295316 Enrollment ID: I20190220000189 |
| Provider Name | Starla Jo Kiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639462260 PECOS PAC ID: 0547529950 Enrollment ID: I20190531001700 |
| Provider Name | Teresa Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780159624 PECOS PAC ID: 5991035891 Enrollment ID: I20190919000028 |
| Provider Name | Tresha Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831121466 PECOS PAC ID: 5395745699 Enrollment ID: I20200527002166 |
| Provider Name | Ashley Greenway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508477274 PECOS PAC ID: 2567881683 Enrollment ID: I20200923000891 |
| Provider Name | Steven Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386166932 PECOS PAC ID: 4587936786 Enrollment ID: I20201110001232 |
| Provider Name | Kyle Clayton Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740841998 PECOS PAC ID: 4385055300 Enrollment ID: I20201124000971 |
| Provider Name | Nathan Edward Ott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497369557 PECOS PAC ID: 6406260694 Enrollment ID: I20210129001201 |
| Provider Name | Jenny L Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144811175 PECOS PAC ID: 1254746951 Enrollment ID: I20210210001070 |
| Provider Name | Rebekah Blye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124616172 PECOS PAC ID: 4587071832 Enrollment ID: I20210402000069 |
| Provider Name | Cheryl Humes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730853110 PECOS PAC ID: 9032514146 Enrollment ID: I20210826002398 |
| Provider Name | Gina Spence Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285129544 PECOS PAC ID: 0941553267 Enrollment ID: I20210924000794 |
| Provider Name | Sara Alden Van Heukelum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588328645 PECOS PAC ID: 7911396775 Enrollment ID: I20211116002557 |
| Provider Name | Martin Phan Eason |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1356699433 PECOS PAC ID: 8325427453 Enrollment ID: I20220627003258 |
| Provider Name | Chen Peter Chou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568196020 PECOS PAC ID: 5597146613 Enrollment ID: I20220721000760 |
| Provider Name | Kelly Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568976751 PECOS PAC ID: 9335524321 Enrollment ID: I20220912001383 |
| Provider Name | Linda Sue Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932878535 PECOS PAC ID: 3173995875 Enrollment ID: I20230206002481 |
| Provider Name | Amanda Marie Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609369933 PECOS PAC ID: 2163894544 Enrollment ID: I20230213000642 |
| Provider Name | Nicole Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871259689 PECOS PAC ID: 3476923814 Enrollment ID: I20230221000302 |
| Provider Name | Jessica Lynn Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649852393 PECOS PAC ID: 8820453855 Enrollment ID: I20230427000153 |
| Provider Name | Mack Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154354900 PECOS PAC ID: 3678656790 Enrollment ID: I20230822003073 |
| Provider Name | Carla Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013555770 PECOS PAC ID: 0042610347 Enrollment ID: I20230914004020 |
| Provider Name | Emilie Adele Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093424673 PECOS PAC ID: 1456700350 Enrollment ID: I20231218000075 |
| Provider Name | Mollie Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790487197 PECOS PAC ID: 2365892205 Enrollment ID: I20231219001476 |
| Provider Name | Linda Carroll Isaac |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366941098 PECOS PAC ID: 0143670869 Enrollment ID: I20231221001023 |
| Provider Name | Cheryl Edwards Ponton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699385385 PECOS PAC ID: 6002266392 Enrollment ID: I20231228003179 |
| Provider Name | Teri Dahley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548957160 PECOS PAC ID: 6901257724 Enrollment ID: I20240105002381 |
| Provider Name | Juanita D Haskins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598331316 PECOS PAC ID: 0941651566 Enrollment ID: I20240109000307 |
| Provider Name | Robin Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962081547 PECOS PAC ID: 8224481049 Enrollment ID: I20240129002119 |
| Provider Name | Stephen Arcaya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457019754 PECOS PAC ID: 5991148744 Enrollment ID: I20240208001198 |
| Provider Name | Clifton Richard Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245567965 PECOS PAC ID: 6305286253 Enrollment ID: I20240425003457 |
| Provider Name | Jayne Anne Carrels-zeller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376793083 PECOS PAC ID: 7315475332 Enrollment ID: I20250103002202 |
| Provider Name | Dorothy Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952707937 PECOS PAC ID: 5991018350 Enrollment ID: I20250210001336 |
| Provider Name | Brenda Hamilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093599706 PECOS PAC ID: 9931649050 Enrollment ID: I20250224000389 |
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In Good Hands Provider, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12531 Clipper Dr Ste 202, Woodbridge, VA 22192 Phone: 202-681-8320 | |
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