Healthcare Provider Details

I. General information

NPI: 1962341461
Provider Name (Legal Business Name): WELLCARE MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9211 FOREST HILL AVE STE 200-208
RICHMOND VA
23235-6874
US

IV. Provider business mailing address

9211 FOREST HILL AVE STE 200-208
RICHMOND VA
23235-6874
US

V. Phone/Fax

Practice location:
  • Phone: 571-570-1661
  • Fax: 571-570-1442
Mailing address:
  • Phone: 571-570-1661
  • Fax: 571-570-1442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANDREW MICHAEL EPSTEIN
Title or Position: OWNER
Credential: D.O.
Phone: 520-904-2147