Individual provider Active NPI

Alexander Charles Lee, PA-C

  • Medical Physician Assistant
  • Manassas, VA
National Provider Identifier
1306146444
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003506 Issued in VA
Practice address
9715 Liberia Ave
Manassas, VA 20110-5837
Phone
(571) 229-1797
NPI assigned
Oct 22, 2010
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003506 VA
Medical Physician Assistant 363AM0700X PA030775 DC
Medical Physician Assistant 363AM0700X C04331 MD
Medical Physician Assistant 363AM0700X 0110003506 VA Primary

Addresses

Primary practice location

9715 Liberia Ave
Manassas, VA 20110-5837

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other practice location 1

2150 Pennsylvania Ave NW # 2B-417
Washington, DC 20037-3201
Phone (202) 741-2920

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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
I20110420000386 DC Practitioner - Physician Assistant 6709061625 Reassigns benefits to 4 organizations
I20131106001637 VA Practitioner - Physician Assistant 6709061625 Reassigns benefits to 2 organizations
I20150916003130 MD Practitioner - Physician Assistant 6709061625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1260 Temple Ave
Colonial Heights, VA 23834-2984
Phone (804) 518-2597

2304 W Mercury Blvd
Hampton, VA 23666-3115
Phone (757) 951-1579

47100 Community PLZ
Suite 100
Sterling, VA 20164-1821
Phone (703) 880-1403

502 W Broad St
Falls Church, VA 22046-3204
Phone (571) 421-8431

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

6311 Richmond Hwy
Alexandria, VA 22306-6410
Phone (703) 647-6087

9715 Liberia Ave
Manassas, VA 20110-5837
Phone (571) 229-1797

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110003506VAMDPhysician Assistant
PA030775DCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 15, 2013 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Aug 1, 2015 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Aug 1, 2015 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Aug 25, 2014 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Aug 25, 2014 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 1, 2013 Accepting new patients
Patient First Maryland Medical Group, PLLC CurrentSince Aug 1, 2015 Accepting new patients

Locations

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

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

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

9715 Liberia Ave
Manassas, VA 20110
Phone (571) 229-1797

Interoperability endpoints

  • Direct secure messaging: vaexchange@patientfirstclinics.com

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

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1306146444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 LIBERIA AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105837",
            "telephone_number": "571-229-1797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Pennsylvania Ave NW # 2B-417",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200373201",
            "country_code": "US",
            "telephone_number": "202-741-2920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALEXANDER",
        "middle_name": "CHARLES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-22",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003506",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA030775",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C04331",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9715 Liberia Ave",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201105837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.