Individual provider Active NPI

Carl D Wright, PA

  • Physician Assistant
  • Chester, VA
National Provider Identifier
1114934072
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001332 Issued in VA
Practice address
13038 Rivers Bend Rd
Chester, VA 23836-2564
Phone
(804) 530-3330
Fax
(804) 530-9998
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 0110001332 VA Primary

Addresses

Primary practice location

13038 Rivers Bend Rd
Chester, VA 23836-2564

Mailing address

131 Jennick Dr
Colonial Heights, VA 23834-4905
Phone (804) 526-5888

Other identifiers 1

IdentifierTypeStateIssuer
010082960MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, VI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040827000488 VA Practitioner - Physician Assistant 1658346259 Reassigns benefits to 2 organizations
I20181129001857 FL Practitioner - Physician Assistant 1658346259 Reassigns benefits to 3 organizations
I20260211004166 VI Practitioner - Physician Assistant 1658346259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virgin Island Orthopedics and Sports Medicine P CGroup PAC ID 6608921259, 10 clinicians

Practice addresses (Care Compare)

9149 Estate Thomas
St Thomas, VI 00802-2615
Phone (340) 714-2845

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121VIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virgin Island Orthopedics and Sports Medicine P C Physician Assistant CurrentSince Dec 28, 2025 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jul 1, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2017 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients
Nowcare Physicians Past Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

9149 Estate Thomas
St Thomas, VI 00802
Phone (340) 714-2845

9149 Estate Thomas
Ste 104
St Thomas, VI 00802
Phone (340) 714-2845

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114934072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 JENNICK DR",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238344905",
            "telephone_number": "804-526-5888",
            "fax_number": "804-526-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13038 RIVERS BEND RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238362564",
            "telephone_number": "804-530-3330",
            "fax_number": "804-530-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CARL",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010082960",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.