Healthcare Provider Details

I. General information

NPI: 1255215133
Provider Name (Legal Business Name): CHESAPEAKE REGIONAL MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 BATTLEFIELD BLVD S STE 100
CHESAPEAKE VA
23322-4215
US

IV. Provider business mailing address

667 KINGSBOROUGH SQ STE 101
CHESAPEAKE VA
23320-4999
US

V. Phone/Fax

Practice location:
  • Phone: 757-312-2299
  • Fax: 757-312-2256
Mailing address:
  • Phone: 757-842-4481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY KINGERY
Title or Position: CEO
Credential:
Phone: 757-312-5166