Individual provider Active NPI

Michelle Marie Zananiri, PA-C

  • Physician Assistant
  • Charlottesville, VA
National Provider Identifier
1124460589
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008638 Issued in VA
Practice address
310 Avon St Ste 9
Charlottesville, VA 22902-5750
Phone
(434) 817-1818
Fax
(434) 817-9606
NPI assigned
Jul 25, 2013
Reactivated
Dec 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110008638 VA Primary
Physician Assistant 363A00000X PA4766 MA

Addresses

Primary practice location

310 Avon St Ste 9
Charlottesville, VA 22902-5750

Mailing address

310 Avon St Ste 9
Charlottesville, VA 22902-5750
Phone (434) 817-1818

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
I20221017001939 VA Practitioner - Physician Assistant 8022378587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

310 Avon St
Suite 9
Charlottesville, VA 22902-5750
Phone (434) 817-1818

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA4766MAMDPhysician Assistant
0110008638VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 1, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 1, 2022 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

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

310 Avon St
Ste 9
Charlottesvle, VA 22902
Phone (434) 817-1818

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michelle.zananiri.1@8042.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1124460589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 AVON ST STE 9",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025750",
            "telephone_number": "434-817-1818",
            "fax_number": "434-817-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 AVON ST STE 9",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025750",
            "telephone_number": "434-817-1818",
            "fax_number": "434-817-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANANIRI",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "deactivation_date": "2025-12-09",
        "reactivation_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008638",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.