OrganizationCoastal Virginia Pediatrics, LlcPediatricsAllopathic & Osteopathic PhysiciansPractice Address301 Goode Way Ste 203, Portsmouth, VA 23704-2266(757) 399-5300PECOS EnrollmentBased on the most recent information from CMS, provider Coastal Virginia Pediatrics, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1245917079Provider TypeOrganizationFull NameCoastal Virginia Pediatrics, LlcSubpartNoEnumeration Date7/3/2023Last Updated11/19/2025Contact InformationPractice LocationPractice Address301 Goode Way Ste 203, Portsmouth, VA 23704-2266Phone(757) 399-5300Fax(757) 399-5987Mailing LocationMailing Address301 Goode Way Ste 203, Portsmouth, VA 23704-2266Phone(757) 399-5300Fax(757) 399-5987Authorized OfficialNameWalker, Lenoa (Pediatric Nurse Practitioner)Phone(757) 761-6260Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer