Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centerwell Senior Primary Care VA PLLC

Organization Family Medicine Physician · NPI 1912786054

Centerwell Senior Primary Care VA PLLC is a Family Medicine Physician in Glen Allen, Virginia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5310 Twin Hickory Rd Ste A
Glen Allen, VA 23059-5783
Phone: (042) 730-0108
Fax: (804) 273-0049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1912786054
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care VA PLLC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care-Twin Hickory; Centerwell Senior Primary Care-Twin Hickory; Centerwell Senior Primary Care Va Pc
NPI enumeratedSeptember 27, 2023
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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