Colby Trey Oldham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110012452 Issued in VA

Practice address

2405 Atherholt Rd
Lynchburg, VA 24501-2184

Phone

(434) 485-8517

Fax

(434) 485-8594

NPI assigned

Oct 9, 2026

Last updated

Oct 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cole Trey Oldham Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1053216085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715868",
            "telephone_number": "804-915-1910",
            "fax_number": "804-968-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012184",
            "telephone_number": "434-485-8517",
            "fax_number": "434-485-8594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14521 Forest Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245514079",
            "country_code": "US",
            "telephone_number": "434-485-8500",
            "fax_number": "434-485-8599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1409 S Main St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239012531",
            "country_code": "US",
            "telephone_number": "434-207-5170",
            "fax_number": "434-485-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "COLBY",
        "middle_name": "TREY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110012452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLE",
            "last_name": "OLDHAM",
            "middle_name": "TREY",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlyn Okin
• Michael A Okin, MD
• Saheed Olaogun, MD
• Old Dominion Prosthetics & Orthotics, Inc.
• Bobbi Birchell Oldham, DDS
• Dwight Stephen Oldham, M.D.
• Richard Arthur Oldham, D.D.S.
• Catherine Carrington Oliver, LPC
• Madelyn Marie Oliveri, PA
• Savannah Olmstead

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.