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

Jaquelin Wallis Sugameli, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902486624

Jaquelin Wallis Sugameli, DO is an Emergency Medicine in Norfolk, Virginia. Graduated from Nova Southeastern College of Osteo Medicine in 2021, 5 years ago. Practices with Emergency Physicians of Tidewater, a 165-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

600 Gresham Dr
Norfolk, VA 23507-1904
Phone: (757) 388-3397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0102208592 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902486624
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2021
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing addressPo Box 1980, Norfolk, VA 23501-1980

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2021 (5 years in practice)
Group practice Emergency Physicians Of Tidewater — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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