NPIMap

Individual provider Active NPI

Meredith Quarles, PA-C

  • Medical Physician Assistant
  • Appomattox, VA
National Provider Identifier
1104225101
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110004655 Issued in VA
Practice address
131 Jones St
Appomattox, VA 24522-9830
Phone
(434) 352-8235
Fax
(434) 352-5532
NPI assigned
Aug 15, 2014
Last updated
Dec 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110004655 VA Primary

Addresses

Primary practice location

131 Jones St
Appomattox, VA 24522-9830

Mailing address

131 Jones St
Appomattox, VA 24522-9830
Phone (434) 352-8235

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
I20141121002112 VA Practitioner - Physician Assistant 0648592949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

131 Jones St
Appomattox, VA 24522-9830
Phone (434) 352-8235

2215 Landover PL
Lynchburg, VA 24501-2115
Phone (434) 947-3944

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

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110004655VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 7, 2016 Accepting new patients
Central Virginia Family Physicians, Inc. Laboratory CurrentSince Dec 1, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 7, 2016 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Centra Medical Group Southside, LLC Past Accepting new patients

Locations

131 Jones St
Appomattox, VA 24522
Phone (434) 332-7367

1111 Corporate Park Dr
Ste C
Forest, VA 24551
Phone (434) 382-1129

2019 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 845-7035

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1104225101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 JONES ST",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245229830",
            "telephone_number": "434-352-8235",
            "fax_number": "434-352-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 JONES ST",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245229830",
            "telephone_number": "434-352-8235",
            "fax_number": "434-352-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARLES",
        "first_name": "MEREDITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110004655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appomattox, VA

Sources for this page

Verify at the official NPI Registry.