NPIMap

Individual provider Active NPI

Rebecca Brewer Ferguson, PA-C

  • Physician Assistant
  • Lynchburg, VA
National Provider Identifier
1033629050
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-005956 Issued in VA
Practice address
2011 Tate Springs Rd
Lynchburg, VA 24501-1111
Phone
(434) 947-3963
Fax
(434) 947-5935
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110005956 VA
Physician Assistant 363A00000X 0110-005956 VA Primary

Addresses

Primary practice location

2011 Tate Springs Rd
Lynchburg, VA 24501-1111

Mailing address

5457 Village Hwy
Lynchburg, VA 24504-5387
Phone (434) 485-6101

Other practice location 1

16890 Forest Rd
Forest, VA 24551-4059
Phone (434) 200-7210

Other identifiers 1

IdentifierTypeStateIssuer
1033629050MedicaidVA

Other names 1

  • Ms. Rebecca Lynn Brewer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171221002367 VA Practitioner - Physician Assistant 3870851710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

2542 Langhorne Rd
Lynchburg, VA 24501-1602
Phone (434) 947-5297

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110-005956VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Health Professional Services, LLC CurrentSince Apr 16, 2022 Accepting new patients
Centra Medical Group, LLC CurrentSince Apr 16, 2022 Accepting new patients
Centra Medical Group, LLC PastSince May 25, 2025 Accepting new patients

Locations

16890 Forest Rd
Forest, VA 24551
Phone (434) 200-7210

2512 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 528-2194

2011 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 947-3963

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

2125 Langhorne Rd
Ste 504
Lynchburg, VA 24501
Phone (434) 528-2194

2125 Langhorne Rd
Ste 503
Lynchburg, VA 24501
Phone (434) 947-3963

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1033629050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 VILLAGE HWY",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245045387",
            "telephone_number": "434-485-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 TATE SPRINGS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011111",
            "telephone_number": "434-947-3963",
            "fax_number": "434-947-5935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16890 Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245514059",
            "country_code": "US",
            "telephone_number": "434-200-7210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "REBECCA",
        "middle_name": "BREWER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005956",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033629050",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BREWER",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.