Individual provider Active NPI

Madison Lee Duckworth, PA-C

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1013869718
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110011661 Issued in VA
Practice address
6355 Walker LN Ste 202
Alexandria, VA 22310-3246
Phone
(571) 472-6464
Fax
(703) 797-6981
NPI assigned
Feb 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110011661 VA Primary

Addresses

Primary practice location

6355 Walker LN Ste 202
Alexandria, VA 22310-3246

Mailing address

6355 Walker LN Ste 202
Alexandria, VA 22310-3246
Phone (310) 529-5282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260608003243 VA Practitioner - Physician Assistant 3870064199 Reassigns benefits to 1 organization
I20260609001511 DC Practitioner - Physician Assistant 3870064199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

14605 Potomac Branch Dr
Suite 210
Woodbridge, VA 22191-3337
Phone (703) 620-3211

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000

3299 Woodburn Rd
Suite 370
Annandale, VA 22003-7326
Phone (703) 205-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0110011661VAMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1013869718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN STE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103246",
            "telephone_number": "310-529-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN STE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103246",
            "telephone_number": "571-472-6464",
            "fax_number": "703-797-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKWORTH",
        "first_name": "MADISON",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.