Individual provider Active NPI

Emily Rose Timmons

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1114597770
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008147 Issued in VA
Practice address
2800 Wellford St
Fredericksburg, VA 22401-3176
Phone
(540) 361-1830
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 0110008147 VA Primary

Addresses

Primary practice location

2800 Wellford St
Fredericksburg, VA 22401-3176

Mailing address

1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940

Other practice location 1

90 Greenspring Dr
Stafford, VA 22554-1752
Phone (540) 373-4602

Other practice location 2

9530 Cosner Dr Ste 101
Fredericksburg, VA 22408-7760
Phone (540) 373-4602

Other practice location 3

4710 Spotsylvania Pkwy Ste 101
Fredericksburg, VA 22407-9433
Phone (540) 373-4602

Other practice location 4

8321 Old Mill Ln
Spotsylvania, VA 22551-3308
Phone (540) 878-0704

Other practice location 5

3310 Fall Hill Ave
Fredericksburg, VA 22401-3000
Phone (540) 373-4602

Other practice location 6

1301 Sam Perry Blvd Ste 200
Fredericksburg, VA 22401-8420
Phone (540) 373-4602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211208002987 VA Practitioner - Physician Assistant 9335539238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2800 Welford St
Fredericksburg, VA 22401-3176
Phone (540) 361-1830

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110008147VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Per-SE Technologies Current Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Dec 8, 2025 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Dec 8, 2025 Accepting new patients
Orthopedic Specialty Clinic LTD Past Accepting new patients

Locations

2800 Wellford St
Fredericksburg, VA 22401

2800 Wellford St
Ste 100
Fredericksburg, VA 22401

1301 Sam Perry Blvd
Ste 200
Fredericksburg, VA 22401

4710 Spotsylvania Pkwy
Ste 101
Fredericksburg, VA 22407

3310 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 373-7133

9530 Cosner Dr
Ste 101
Fredericksburg, VA 22408

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

90 Greenspring Dr
Stafford, VA 22554
Phone (540) 373-7133

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 4

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1114597770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WELLFORD ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013176",
            "telephone_number": "540-361-1830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Greenspring Dr",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541752",
            "country_code": "US",
            "telephone_number": "540-373-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9530 Cosner Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224087760",
            "country_code": "US",
            "telephone_number": "540-373-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4710 Spotsylvania Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224079433",
            "country_code": "US",
            "telephone_number": "540-373-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8321 Old Mill Ln",
            "address_purpose": "LOCATION",
            "city": "Spotsylvania",
            "state": "VA",
            "postal_code": "225513308",
            "country_code": "US",
            "telephone_number": "540-878-0704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3310 Fall Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013000",
            "country_code": "US",
            "telephone_number": "540-373-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Sam Perry Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224018420",
            "country_code": "US",
            "telephone_number": "540-373-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.