Individual provider Active NPI

Renee Winston Dial, PA

  • Medical Physician Assistant
  • Carrollton, VA
National Provider Identifier
1407107386
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003953 Issued in VA
Practice address
13350 Country Walk Cir
Carrollton, VA 23314-3489
Phone
(757) 675-8752
Fax
(757) 500-8555
NPI assigned
Oct 2, 2012
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110003953 VA Primary

Addresses

Primary practice location

13350 Country Walk Cir
Carrollton, VA 23314-3489

Mailing address

13350 Country Walk Cir
Carrollton, VA 23314-3489
Phone (757) 675-8752

Other names 1

  • Mrs. Renee Winston Dial Former name

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
I20131211001418 VA Practitioner - Physician Assistant 3678700945 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renee's Medical Consulting CurrentSince Sep 11, 2025 Accepting new patients

Locations

8401 Mayland Dr
#4988
Richmond, VA 23294

Organizations & group practices 2

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": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1407107386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 COUNTRY WALK CIR",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143489",
            "telephone_number": "757-675-8752",
            "fax_number": "757-500-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 COUNTRY WALK CIR",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143489",
            "telephone_number": "757-675-8752",
            "fax_number": "757-500-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAL",
        "first_name": "RENEE",
        "middle_name": "WINSTON",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "DIAL",
            "middle_name": "WINSTON",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrollton, VA

Sources for this page

Verify at the official NPI Registry.