Individual provider Active NPI

Sohaeb Mohammad, PA

  • Medical Physician Assistant
  • Stafford, VA
National Provider Identifier
1447096748
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
450 Garrisonville Rd Ste 109
Stafford, VA 22554-1615
Phone
(703) 522-2727
NPI assigned
Jul 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

450 Garrisonville Rd Ste 109
Stafford, VA 22554-1615

Mailing address

450 Garrisonville Rd Ste 109
Stafford, VA 22554-1615
Phone (571) 288-2319

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
I20251024001798 VA Practitioner - Physician Assistant 4981192481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and Pain Centers, PLLCGroup PAC ID 6709269327, 12 clinicians

Practice addresses (Care Compare)

450 Garrisonville Rd
Suite 109
Stafford, VA 22554-1615
Phone (703) 522-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain Centers, PLLC CurrentSince Sep 2, 2025 Accepting new patients
Advanced Spine and Pain Centers, PLLC CurrentSince Sep 2, 2025 Accepting new patients

Locations

217 E Churchville Rd
Bel Air, MD 21014
Phone (410) 698-2665

450 Garrisonville Rd
Ste 109
Stafford, VA 22554
Phone (540) 446-5355

2296 Opitz Blvd
Ste 210
Woodbridge, VA 22191
Phone (703) 214-7876

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1447096748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GARRISONVILLE RD STE 109",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541615",
            "telephone_number": "571-288-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GARRISONVILLE RD STE 109",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541615",
            "telephone_number": "703-522-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "SOHAEB",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.