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

Dr. Jesse Anderson III, DPM

Individual provider Podiatrist · NPI 1770583080

Dr. Jesse Anderson III, DPM is a Podiatry in Suffolk, Virginia. Qualified in 1984, 42 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
42
Licensed in
VA
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

2401 Godwin Blvd Ste 1
Suffolk, VA 23434-8178
Phone: (757) 625-2962
Fax: (757) 627-9861
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 0103000709 (VA)

Record details

NPI number1770583080
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESMay 2, 2026
Certification dateMay 2, 2026

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Suffolk