| Suffolk United, Inc | |
|
301 Goode Way Ste 102 Portsmouth VA 23704-2266 | |
| (757) 655-0935 | |
| Not Available |
| Full Name | Suffolk United, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 Goode Way Ste 102, Portsmouth, Virginia |
| Authorized Official Name and Position | Taylor Lawrence (BILLING MANAGER) |
| Authorized Official Contact | 7573724407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk United, Inc 732 Eden Way N Ste E104 Chesapeake VA 23320-2798 Ph: (757) 372-4407 | Suffolk United, Inc 301 Goode Way Ste 102 Portsmouth VA 23704-2266 Ph: (757) 655-0935 |
| NPI Number | 1053017475 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 04/24/2025 |
| Medicare PECOS PAC ID | 7911449699 |
|---|---|
| Medicare Enrollment ID | O20240610001837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053017475 | NPI | - | NPPES |
| Provider Name | Angel M Williams-kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598219214 PECOS PAC ID: 2961782859 Enrollment ID: I20161212001414 |
| Provider Name | Carrie Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225745094 PECOS PAC ID: 0547615684 Enrollment ID: I20231010003525 |
| Provider Name | Joel Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255192175 PECOS PAC ID: 5991231607 Enrollment ID: I20250428000243 |
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