Misty Justus, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110001498 Issued in VA

Practice address

100 Spradlin Farm Dr
Christiansburg, VA 24073-1161

Phone

(540) 381-2745

NPI assigned

Oct 2, 2006

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crhs@crhn.cernerdirect.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/buchgen-7056bd27
• Direct secure messaging: misty.justus.1@14083.direct.athenahealth.com
• Direct secure messaging: mjustusbaker@crhn.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bon Secours Urgent Care LLC

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1265160501
  Medicare reassignment Care Compare group
• Medexpress Urgent Care, PC - Virginia

  dba MedExpress Urgent Care - Bluefield

  • Urgent Care Clinic/Center
  • Bluefield, VA
  • NPI 1215219878
  Medicare reassignment
• Medexpress Urgent Care, PC - Virginia

  • Urgent Care Clinic/Center
  • Richmond, VA
  • NPI 1225563679
  NPD
• Medexpress Urgent Care, PC - Virginia

  dba MedExpress Urgent Care - Midlothian, Midlothian Tpke

  • Urgent Care Clinic/Center
  • Midlothian, VA
  • NPI 1710338520
  NPD
• Buchanan General Hospital

  • Primary Care Clinic/Center
  • Grundy, VA
  • NPI 1013221597
  NPD (past)
• Chicora Medical Group PA

  dba Brunswick Speciality Services

  • Family Medicine Physician
  • Supply, NC
  • NPI 1881663227
  NPD (past)
• South Whiteville Urgent Care & Family Practice PA

  • Family Medicine Physician
  • Holly Ridge, NC
  • NPI 1740463140
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1023101680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRADLIN FARM DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731161",
            "telephone_number": "540-381-2745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723707",
            "country_code": "US",
            "telephone_number": "910-642-0331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 McNeill Plz",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284728602",
            "country_code": "US",
            "telephone_number": "910-640-4064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14508 James B White Hwy S",
            "address_purpose": "LOCATION",
            "city": "Tabor City",
            "state": "NC",
            "postal_code": "284638358",
            "country_code": "US",
            "telephone_number": "910-653-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "MISTY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103791",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crhs@crhn.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "Columbus Regional Healthcare System, Inc.",
            "address_1": "14508 James B White Hwy S",
            "city": "Tabor City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284638358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Jones, M.D.
• Charlene Michele Jordan, FNP-BC, RN
• Adam Joyce
• Jaehoon D Jung, DMD
• Erin Marie Justis, LCSW
• Mohamed Idrissi Kadiri, M.D
• Rebecca Lynn Kager, DO
• Sara M Kalies, PA-C
• Madiha Mustafa Kamal, M.D.
• Trudy Ann Kantra, DO

• Physician Assistant in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.

Verify at the official NPI Registry.