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

Jaxon Vallely

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982231403

Jaxon Vallely is a Pediatric Medicine in Norfolk, Virginia. Graduated from Campbell Univ School of Osteopathic Medicine in 2020, 6 years ago. Practices with University of Pittsburgh Physicians, a 4,127-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
Campbell Univ School of Osteopathic Medicine
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

358 Mowbray Arch Ste #203/205
Norfolk, VA 23507
Phone: (757) 668-7249
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1982231403
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESMarch 25, 2020
Certification dateMarch 25, 2020
Mailing address417 Clover Ln Apt A, Raleigh, NC 27604-2055

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolCAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Of Pittsburgh Physicians — 4127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Norfolk