Williamsburg Landing Clinic – Multi-Specialty Clinic/Center, NPI 1457096406

Williamsburg Landing Clinic is a healthcare provider. based in Williamsburg, Virginia. specializing in Multi-Specialty Clinic/Center. The NPI Number for Williamsburg Landing Clinic is 1457096406

Main info

Organization
Name
Williamsburg Landing Clinic
NPI
1457096406
Phone
(757) 565-6516
Address
5700 WILLIAMSBURG LANDING DR
Authorized Official
TRACY CHRISTIE RESIDENT FINANCE MANAGER
Enumeration Date
4 May 2022
Last Update Date
4 May 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness80
Years active:4State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Williamsburg Landing Clinic

  • 5700 WILLIAMSBURG LANDING DR

    WILLIAMSBURG, VA 231853779

    Phone: (757) 565-6516

    Fax: (757) 565-6551

    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: 2022-08-18

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
O20220818000409OClinic/Group PracticeVATBD

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 23185)

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Reviews

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Frequently asked questions

How do I look up Williamsburg Landing Clinic by NPI?
Use NPI 1457096406 when you need to reference Williamsburg Landing Clinic in forms, claims, or directories.
Is Williamsburg Landing Clinic's NPI currently valid?
The extract we use shows Williamsburg Landing Clinic as active.
What kind of provider is Williamsburg Landing Clinic?
The page reflects Multi-Specialty Clinic/Center for Williamsburg Landing Clinic. Clinical services aligned with this taxonomy classification.
Where is Williamsburg Landing Clinic's primary listing?
We display Williamsburg, Virginia because that is what the record indicates for Williamsburg Landing Clinic.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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