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

Individual provider Family Medicine Physician · NPI 1891760039

Jerome A Provenzano, MD is a Family Practice in Newport News, Virginia. Graduated from Georgetown University School of Medicine in 1990, 36 years ago. Practices with James River Family Practice LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
36
Trained at
Georgetown University School of Medicine
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12655 Warwick Blvd
Newport News, VA 23606-2501
Phone: (757) 595-9880
Fax: (757) 595-0362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101048791 (VA)

Record details

NPI number1891760039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice James River Family Practice Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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