COLEMAN INSTITUTE RICHMOND, LLC – NPI #1548687452
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

COLEMAN INSTITUTE RICHMOND, LLC is a provider located in RICHMOND, VA. NPPES has assigned the NPI number 1548687452 to COLEMAN INSTITUTE RICHMOND, LLC on March 28, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was last updated on Feb 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLEMAN INSTITUTE RICHMOND, LLC below.

NPI Profile for
COLEMAN INSTITUTE RICHMOND, LLC

NPI Number
1548687452
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLEMAN INSTITUTE RICHMOND, LLC
Primary location
204 N HAMILTON ST
SUITE B
RICHMOND, VA 23221-2662
Phone: (804) 353-1230 Fax: (804) 353-3342
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER GIFFORD
CEO
Phone: (804) 307-0818
Updated
Certification Date
Feb 23, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COLEMAN INSTITUTE RICHMOND, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPETER R COLEMAN INDIVIDUAL MEDICARE P-TANVAV V 5405E102
otherPETER R COLEMAN'S VA STATE MEDICAL LICENSE NUMBERVA0101037152
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
207Q00000X
- Family Medicine
VA 0101037152

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.