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

Alphonzo Smalls, PA-C

Individual provider Vascular Specialist/Technologist Cardiovascular · NPI 1861751372

Alphonzo Smalls, PA-C is a Physician Assistant in Virginia Beach, Virginia. Qualified in 2015, 11 years ago. Practices with Tidewater Medical Care PC, a 7-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2101 Parks Ave Ste 305
Virginia Beach, VA 23451-4185
Phone: (757) 749-2308
Fax: (757) 447-3988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110-004964 (VA)
Vascular Specialist/Technologist Cardiovascular Taxonomy 246XC2903X · Licence 101858 (VA)

Record details

NPI number1861751372
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 4, 2012
Last updated in NPPESFebruary 28, 2026
Certification dateFebruary 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Tidewater Medical Care Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount