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

Suffolk United, Inc

Organization Family Medicine Physician · NPI 1053017475

Suffolk United, Inc is a Family Medicine Physician in Portsmouth, Virginia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

301 Goode Way Ste 102
Portsmouth, VA 23704-2266
Phone: (757) 655-0935
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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
Nurse Practitioner Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1053017475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taylor Lawrence — Billing Manager · (757) 372-4407
Other names Primecare Medical
NPI enumeratedFebruary 7, 2023
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address732 Eden Way N Ste E104, Chesapeake, VA 23320-2798

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