Individual provider Active NPI

Donna Davis Palles, PA-C

  • Physician Assistant
  • Arlington, VA
National Provider Identifier
1235712654
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2800 S Shirlington Rd FL 11
Arlington, VA 22206-3601
Phone
(703) 892-6500
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 Primary

Addresses

Primary practice location

2800 S Shirlington Rd FL 11
Arlington, VA 22206-3601

Mailing address

2800 S Shirlington Rd FL 11
Arlington, VA 22206-3601
Phone (703) 892-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddavis@andersonclinic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230906004402 DC Practitioner - Physician Assistant 2264896406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 892-6500

2800 S Shirlington Rd
Suite 1000
Arlington, VA 22206-3614

2800 S Shirlington Rd
Suite 1100
Arlington, VA 22206-3605

7508 Iron Bar LN
Suite 7508
Gainesville, VA 20155-2999
Phone (703) 490-6726

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Clinic LLC Physician Assistant CurrentSince Jul 19, 2023 Accepting new patients
Anderson Clinic LLC CurrentSince Jul 19, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2501 Parkers Ln
Ste 200
Alexandria, VA 22306

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

10716 Richmond Hwy
Ste 101
Lorton, VA 22079
Phone (703) 997-0930

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1235712654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD FL 11",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063601",
            "telephone_number": "703-892-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD FL 11",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063601",
            "telephone_number": "703-892-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLES",
        "first_name": "DONNA",
        "middle_name": "DAVIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavis@andersonclinic.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2800 S Shirlington Rd Fl 11",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222063601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.