DR. GEOFFREY WAYNE LUDFORD (EDD) – Professional Counselor, NPI 1205888393

DR. GEOFFREY WAYNE LUDFORD (EDD) is a healthcare provider. based in Portsmouth, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials EDD. They hold a License No. 0701002140 (VA). The NPI Number for DR. GEOFFREY WAYNE LUDFORD (EDD) is 1205888393

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEOFFREY WAYNE LUDFORD (EDD)
NPI
1205888393
Phone
(757) 483-6404
Address
3300 ACADEMY AVENUE
Enumeration Date
17 May 2006
Last Update Date
19 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7574836404
Graduation Year
1990 (36 years ago)
PAC ID
4789036880
Group Practice PAC ID
5799776654
Professional Enrollment ID
I20240113000055
Address ID
VA233215525CH4041XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

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Provider Addresses for DR. GEOFFREY WAYNE LUDFORD (EDD)

  • 3300, Academy Avenue, Village At Western Branch, Churchland, Portsmouth, Virginia, 23703, United States

    PORTSMOUTH, VA 237033205

    Phone: (757) 483-6404

    Fax: (757) 483-0737

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240113000055IMental Health CounselorVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799776654View full group profile
NameSpecialtyState
Mental Health CounselorVA
Clinical Social WorkerVA
-VA
Clinical Social WorkerVA
Mental Health CounselorVA
-VA
-VA
Nurse PractitionerVA
P S Y C H I A T R YVA
-VA

Reviews

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Frequently asked questions

Is there an official ID for DR. GEOFFREY WAYNE LUDFORD (EDD) in U.S. healthcare records?
The official identifier for DR. GEOFFREY WAYNE LUDFORD (EDD) is NPI 1205888393.
Would DR. GEOFFREY WAYNE LUDFORD (EDD) appear as active to a payer?
You can treat DR. GEOFFREY WAYNE LUDFORD (EDD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. GEOFFREY WAYNE LUDFORD (EDD)'s focus?
For DR. GEOFFREY WAYNE LUDFORD (EDD), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
Where in Virginia is DR. GEOFFREY WAYNE LUDFORD (EDD) registered?
Use Portsmouth, Virginia as the headline location for DR. GEOFFREY WAYNE LUDFORD (EDD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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