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

Fairwater Family Medicine, LLC

Organization Family Medicine Physician · NPI 1932011418

Fairwater Family Medicine, LLC provides Family Medicine Physician services in Norfolk, Virginia. Registered with an NPI since 2026.

In the registry since
2026
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

327 W 21st St Ste 202
Norfolk, VA 23517-2130
Phone: (757) 876-9788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1932011418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devon Shick — Owner · (757) 271-4593
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 18, 2026
Mailing address327 W 21st St Ste 202, Norfolk, VA 23517-2130

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