Advantage Primary Care
NPI 1245959287ActiveOrganization· Physician Assistant· Richmond, VA
Physician Assistant in Richmond, Virginia, registered in NPPES in August 2022. The authorized official on file is James Detrick, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245959287 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2022 |
| Last updated in NPPES | Aug 23, 2022 |
| Certified by provider | Aug 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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