Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Chippenham & Johnston Willis Sports Medicine, LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1639448962

Chippenham & Johnston Willis Sports Medicine, LLC provides Sports Medicine (Family Medicine) Physician services in North Chesterfield, Virginia. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1115 Boulders Pkwy Ste 110
North Chesterfield, VA 23225-4067 Not confirmed with CMS for 14 years — call before visiting
Phone: (804) 560-6500
Fax: (804) 560-6505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1639448962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hunter Durvin — Practice Manager · (804) 560-6511
Other names Cjw Sports Medicine, Llc
NPI enumeratedDecember 15, 2011
Last updated in NPPESDecember 15, 2011
Mailing address1115 Boulders Pkwy, Suite 110, North Chesterfield, VA 23225-4067

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