Individual provider Active NPI

Jessica Marie Cain, PA-C

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1235178302
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110012006 Issued in VA
Practice address
1950 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0168
Phone
(757) 507-0600
Fax
(757) 507-0600
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 0110012006 VA Primary
Physician Assistant 363A00000X 104050 NC

Addresses

Primary practice location

1950 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0168

Mailing address

1950 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0168
Phone (757) 507-0600

Other practice location 1

1700 Tarboro St W Ste 102
Wilson, NC 27893-3481
Phone (252) 399-5306

Other practice location 2

600 Gresham Dr Ste 8610
Norfolk, VA 23507-1904
Phone (757) 252-9015

Other practice location 3

1540 Sunday Dr
Raleigh, NC 27607-6010
Phone (919) 782-3645

Other practice location 4

800 Independence Blvd Ste 500
Virginia Beach, VA 23455-6011
Phone (757) 252-9048

Other practice location 5

301 Riverview Ave Ste 202A
Norfolk, VA 23510-1065
Phone (757) 252-9015

Other practice location 6

1520 Sunday Dr
Raleigh, NC 27607-5253
Phone (919) 782-3456

Other names 1

  • Jessica Marie Cain Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050222000423 NC Practitioner - Physician Assistant 2062465818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104050NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Wilson Physician Practices LLC CurrentSince Nov 1, 2023 Accepting new patients
DLP Wilson Physician Practices LLC Physician Assistant Current Accepting new patients
North State Medical Group, P.a. Past Accepting new patients

Locations

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

1700 Tarboro St W
Ste 102
Wilson, NC 27893
Phone (252) 237-7770

Interoperability endpoints

  • Direct secure messaging: jessica.cain.1@25810.direct.athenahealth.com
  • Direct secure messaging: jcain@hcn.gwaydirect.com

Organizations & group practices 4

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1235178302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 GLENN MITCHELL DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560168",
            "telephone_number": "757-507-0600",
            "fax_number": "757-507-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 GLENN MITCHELL DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560168",
            "telephone_number": "757-507-0600",
            "fax_number": "757-507-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Tarboro St W Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278933481",
            "country_code": "US",
            "telephone_number": "252-399-5306",
            "fax_number": "252-399-5307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr Ste 8610",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-252-9015",
            "fax_number": "757-510-9041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Sunday Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076010",
            "country_code": "US",
            "telephone_number": "919-782-3645",
            "fax_number": "919-783-1441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Independence Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556011",
            "country_code": "US",
            "telephone_number": "757-252-9048",
            "fax_number": "757-252-9041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Riverview Ave Ste 202A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101065",
            "country_code": "US",
            "telephone_number": "757-252-9015",
            "fax_number": "757-510-9041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Sunday Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276075253",
            "country_code": "US",
            "telephone_number": "919-782-3456",
            "fax_number": "919-783-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIN",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110012006",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CAIN",
            "middle_name": "MARIE",
            "credential": "PA-C, AQH, MPAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.