Individual provider Active NPI

Tonya McKnight James

  • Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1184591463
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024194819 Issued in VA
Practice address
12872 Classic Springs Dr
Manassas, VA 20112-7851
Phone
(803) 463-8254
NPI assigned
Oct 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024194819 VA Primary

Addresses

Primary practice location

12872 Classic Springs Dr
Manassas, VA 20112-7851

Mailing address

12872 Classic Springs Dr
Manassas, VA 20112-7851
Phone (803) 463-8254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20251119000765 DC Practitioner - Nurse Practitioner 4183115991 Reassigns benefits to 1 organization
I20251121000548 VA Practitioner - Nurse Practitioner 4183115991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Mobile Wound Care of Virginia LLCGroup PAC ID 8426573528, 11 clinicians
Dynamic Health SolutionsGroup PAC ID 3072023803, 4 clinicians

Practice addresses (Care Compare)

2109 India Rd
Charlottesville, VA 22901-2886
Phone (276) 685-1185

9010 Lorton Station Blvd
Suite 270
Lorton, VA 22079-4792

9010 Lorton Station Blvd
Suite 270
Lorton, VA 22079-4798
Phone (888) 958-3455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024194819VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Health Solutions CurrentSince Oct 27, 2025 Accepting new patients
Scott Wagner Integrated Medicine LLC CurrentSince Feb 1, 2026 Accepting new patients
Advanced Mobile Wound Care of Virginia LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

2109 India Rd
Charlottesvle, VA 22901
Phone (276) 685-1185

4103 Lafayette Blvd
Ste 2
Fredericksburg, VA 22408
Phone (540) 898-6500

9010 Lorton Station Blvd
Ste 270
Lorton, VA 22079
Phone (571) 418-8670

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.

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1184591463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12872 CLASSIC SPRINGS DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201127851",
            "telephone_number": "803-463-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12872 CLASSIC SPRINGS DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201127851",
            "telephone_number": "803-463-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "TONYA",
        "middle_name": "MCKNIGHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024194819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.