ELIZABETH KATHLEEN COLLUMB (MD) – Psychiatry Physician, NPI 1689625956

ELIZABETH KATHLEEN COLLUMB (MD) is a healthcare provider. based in Norfolk, Virginia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MDA74785 (CA). The NPI Number for ELIZABETH KATHLEEN COLLUMB (MD) is 1689625956

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH KATHLEEN COLLUMB (MD)
NPI
1689625956
Phone
(757) 446-5888
Address
825 Fairfax Ave Ste 710
Enumeration Date
12 May 2006
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
5034948311
Graduation Year
1999 (27 years ago)
PAC ID
8820056351
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20240731000311
Address ID
OR972393011PO3181XRDXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,034 PSYCHIATRY in VA

Provider Addresses for ELIZABETH KATHLEEN COLLUMB (MD)

  • 825 Fairfax Ave Ste 710

    Norfolk, VA 235071914

    Phone: (757) 446-5888

    Fax: (757) 446-5918

    Type: Location

  • 4225 Executive Square

    Suite 1130

    La Jolla, CA 92037

    Phone: (858) 455-9715

    Fax: (858) 455-9713

    Type: Location

  • 1400 SW 5TH AVE STE 500

    PORTLAND, OR 972015537

    Phone: (866) 617-6855

    Fax: (503) 346-8015

    Type: Mailing

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-6176

    Fax: (503) 494-6155

    Type: Location

  • PO Box, adj, Main Road, Lot's Bridge, Upwell, King's Lynn and West Norfolk, Norfolk, East of England, England, PE14 9JA, United Kingdom

    NORFOLK, VA 235010936

    Phone: (757) 446-5888

    Fax: (757) 446-5918

    Type: Mailing

  • 710, Fairfax Avenue, Norfolk, Virginia, 23507, United States

    NORFOLK, VA 235071914

    Phone: (757) 446-5888

    Fax: (757) 446-5918

    Type: Location

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: 2024-07-31

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
I20240731000311IPsychiatryORTBD

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

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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 23507)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

How is ELIZABETH KATHLEEN COLLUMB (MD) identified in CMS data?
CMS-hosted NPPES data lists ELIZABETH KATHLEEN COLLUMB (MD) with NPI 1689625956.
Is ELIZABETH KATHLEEN COLLUMB (MD) still practicing?
ELIZABETH KATHLEEN COLLUMB (MD) is currently listed as active in the public NPI registry.
What is ELIZABETH KATHLEEN COLLUMB (MD)'s primary classification?
Psychiatry Physician is the headline specialty for ELIZABETH KATHLEEN COLLUMB (MD) here. Clinical services aligned with this taxonomy classification.
Where is ELIZABETH KATHLEEN COLLUMB (MD) based?
ELIZABETH KATHLEEN COLLUMB (MD) is tied to Norfolk, Virginia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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