Individual provider Active NPI

Audrey Pleasants, PA-C

  • Physician Assistant
  • New Canton, VA
National Provider Identifier
1376355164
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
25892 N James Madison Hwy
New Canton, VA 23123-2234
Phone
(434) 581-3271
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

25892 N James Madison Hwy
New Canton, VA 23123-2234

Mailing address

1255 Deep Run Rd
Cartersville, VA 23027-9785
Phone (804) 212-5819

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
I20250407001924 VA Practitioner - Physician Assistant 0244754786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

165 Legrande Ave
Charlotte Court House, VA 23923-3747
Phone (434) 542-5560

PO Box
Suite 220
New Canton, VA 23123

Hospital & facility affiliations

  • Southside Community Hospital, Inc Hospital, Farmville, VA, CCN 490090

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Apr 1, 2025 Accepting new patients
Central Virginia Health Services Inc CurrentSince Apr 1, 2025 Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients
Central Virginia Health Services Inc PastSince Mar 6, 2022 Accepting new patients

Locations

8380 Boydton Plank Rd
Alberta, VA 23821
Phone (434) 949-7211

11814 King William Rd
Aylett, VA 23009
Phone (804) 769-3002

9950 Courthouse Rd
Charles City, VA 23030
Phone (804) 226-6383

1101 E Jefferson St
Ste 1
Charlottesville, VA 22902
Phone (434) 227-5624

800 Preston Ave
Charlottesvle, VA 22903
Phone (434) 227-5624

2256 Irish Rd
Esmont, VA 22937
Phone (434) 286-3602

833 Buffalo St
Ste 200
Farmville, VA 23901
Phone (434) 392-8177

1965 Emancipation Hwy
Ste 100
Fredericksburg, VA 22401
Phone (540) 735-0560

400 S Mesa Dr
Hopewell, VA 23860
Phone (434) 210-0755

410 Industrial Dr
Louisa, VA 23093
Phone (540) 967-9401

18849 Kings Hwy
Montross, VA 22520
Phone (804) 493-1124

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

321 Poplar Dr
Ste C
Petersburg, VA 23805
Phone (804) 733-5591

3101 Johnson Rd
Petersburg, VA 23805
Phone (804) 861-4884

541 S Sycamore St
Petersburg, VA 23803
Phone (804) 835-6100

25 S Union St
Petersburg, VA 23803
Phone (804) 957-9601

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1376355164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 DEEP RUN RD",
            "city": "CARTERSVILLE",
            "state": "VA",
            "postal_code": "230279785",
            "telephone_number": "804-212-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25892 N JAMES MADISON HWY",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "231232234",
            "telephone_number": "434-581-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEASANTS",
        "first_name": "AUDREY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canton, VA

Sources for this page

Verify at the official NPI Registry.