Spora Medical, PC.
NPI 1861013583 · Primary Care Clinic/Center · Virginia Beach, VA
Spora Medical, PC. is a Primary Care Clinic/Center organization in Virginia Beach, VA (NPI 1861013583).
Provider details
- NPI number
- 1861013583
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Spora Health, Inc.
- Organization subpart
- Yes
- Authorized official
- Lakisa Davis, Com(773) 389-1899
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
- Doula374J00000X
Nursing Service Related Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 548 Market StSan Francisco, CA 94104-5401Phone: (773) 389-1899Fax: (773) 466-9777
- 382 Ne 191st StMiami, FL 33179-3899Phone: (773) 389-1899Fax: (773) 466-9777
- 9456 State Rd Ste 11-V490Philadelphia, PA 19114-3079Phone: (773) 389-1899Fax: (773) 466-9777
- 9234 Kingston PikeKnoxville, TN 37922-2380Phone: (773) 389-1899Fax: (773) 466-9777
- 750 N Saint Paul St Ste 250Dallas, TX 75201-3206Phone: (773) 389-1899Fax: (773) 466-9777
Registry dates
- Enumerated
- 2020-05-05
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Frequently asked questions
- What is Spora Medical, PC.'s NPI number?
- Spora Medical, PC.'s National Provider Identifier (NPI) is 1861013583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spora Medical, PC.?
- Spora Medical, PC. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Spora Medical, PC. located?
- Spora Medical, PC.'s practice location on file with NPPES is 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262.
- What is Spora Medical, PC.'s phone number?
- The practice phone number listed in the NPPES registry for Spora Medical, PC. is (773) 389-1899.
- Who is the authorized official for Spora Medical, PC.?
- The authorized official listed on Spora Medical, PC.'s NPPES record is Lakisa Davis, Com. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spora Medical, PC.'s NPI active?
- Yes — Spora Medical, PC.'s NPI (1861013583) is active in the NPPES registry as of the last update on 2022-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.