Individual provider Active NPI

Joanna Noel Lang, PA-C

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1053751156
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-004295 Issued in VA
Practice address
10620 Spotsylvania Ave
Fredericksburg, VA 22408-2637
Phone
(540) 710-1086
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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 0110-004295 VA Primary

Addresses

Primary practice location

10620 Spotsylvania Ave
Fredericksburg, VA 22408-2637

Mailing address

10620 Spotsylvania Ave
Fredericksburg, VA 22408-2637
Phone (540) 710-1086

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
I20140407001979 VA Practitioner - Physician Assistant 5890927768 Reassigns benefits to 3 organizations
I20210720000230 DC Practitioner - Physician Assistant 5890927768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

13039 Route 50
Suite C
Fairfax, VA 22033-2047
Phone (571) 307-2594

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

3301 Wilson Blvd
Arlington, VA 22201-2228
Phone (703) 243-6720

6201 Centreville Rd
Suite 200
Centreville, VA 20121-2626
Phone (571) 549-8577

75 W Lee Hwy
Warrenton, VA 20186-2149
Phone (540) 351-0662

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9404 A Main St
Fairfax, VA 22031-4032
Phone 47027679312302

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-004295VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 6, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 6, 2021 Accepting new patients
Loudoun Medical Group, PC Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

3301 Wilson Blvd
Arlington, VA 22201
Phone (703) 243-6720

500 W Annandale Rd
Falls Church, VA 22046
Phone (703) 521-6662

8644 Sudley Rd
#220
Manassas, VA 20110

75 W Lee Hwy
Warrenton, VA 20186
Phone (540) 347-4757

14900 Potomac Town Pl
Ste 130
Woodbridge, VA 22191
Phone (540) 351-0662

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joanna.lang.1@8042.direct.athenahealth.com
  • Direct secure messaging: jlang1450564@soc.inova.org

Organizations & group practices 6

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 1

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1053751156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 SPOTSYLVANIA AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082637",
            "telephone_number": "540-710-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 SPOTSYLVANIA AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082637",
            "telephone_number": "540-710-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "JOANNA",
        "middle_name": "NOEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-004295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.