Emily Brooke Warrick
Individual provider Active NPI Physician Assistant · Axton, VA
NPI 1114559804 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1114559804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110-007720 (VA)
- Practice address
- 1329 Sandy River Rd
Axton, VA 24054-2761 - Phone
- (276) 340-7027
- NPI assigned
- Feb 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Privia Medical Group, LLC
Oandw Enterprises
Practice addresses (Care Compare)
100 College Dr
Martinsville, VA 24112-7588
Phone (276) 666-0500
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
Hospital & facility affiliations
- Sovah Health Danville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210421000679 | VA | Practitioner - Physician Assistant | 4688082217 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-007720 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Privia Medical Group, LLC | Current |
Accepting new patients |
Locations
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
8644 Sudley Rd
#220
Manassas, VA 20110
2696 Greensboro Rd
Martinsville, VA 24112
Phone (276) 638-7205
Interoperability endpoints
- emily.warrick.1@8042.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-007720 | VA | Yes |
Addresses
Primary practice location
1329 Sandy River Rd
Axton, VA 24054-2761
Mailing address
2696 Greensboro Rd
Martinsville, VA 24112-8106
Phone (276) 638-7205
Other providers in Axton, VA
- Smith'S Home for Adults
- Tender Loving Care
- The Barrow Center
- Tanisha Renette Valenzuela-Landrum
- Kevin Wayne Warren
- Melody Wood
- Rodney Wood
All providers in Axton, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.