Active NPI
Alexis Leigh Coleman, PA
- Medical Physician Assistant
- South Boston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 2210 Wilborn Ave
South Boston, VA 24592-1630 - Phone
- (941) 740-1946
- NPI assigned
- Nov 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
2210 Wilborn Ave
South Boston, VA 24592-1630
Mailing address
203 Hull St Apt 4a
Richmond, VA 23224-4275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 483-0000
Hospital & facility affiliations
- Mary Washington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of Fredericksburg PTR | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Hospital Inc. | Past | Accepting new patients |
Locations
1101 Sam Perry Blvd
Ste 400
Fredericksburg, VA 22401
Phone (540) 741-2865
1201 Sam Perry Blvd
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-4614
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
1101 Sam Perry Blvd
Ste 219
Fredericksburg, VA 22401
Phone (540) 741-2855
101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340
Interoperability endpoints
- acoleman68427@marywashingtonhealthcare.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1750826277
-
- Surgery Physician
- Richmond, VA
- NPI 1487164604
-
- Specialist
- South Boston, VA
- NPI 1265436117
-
- Specialist
- Santa Monica, CA
- NPI 1770093734
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
- Anatomic Pathology Physician
- Fredericksburg, VA
- NPI 1033150982
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1003418302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 HULL ST APT 4A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232244275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 WILBORN AVE",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245921630",
"telephone_number": "941-740-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "ALEXIS",
"middle_name": "LEIGH",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.