Individual provider Active NPI

Angela F Meredith, PA

  • Physician Assistant
  • Christiansburg, VA
National Provider Identifier
1477859361
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003532 Issued in VA
Practice address
2900 Tyler Rd
Christiansburg, VA 24073-6374
Phone
(540) 731-7341
Fax
(540) 731-7377
NPI assigned
Feb 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110003532 VA
Physician Assistant 363A00000X 0110003532 VA Primary

Addresses

Primary practice location

2900 Tyler Rd
Christiansburg, VA 24073-6374

Mailing address

2900 Tyler Rd
Christiansburg, VA 24073-6374
Phone (540) 731-7341

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afraley4742@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20111021000437 VA Practitioner - Physician Assistant 8325211121 Reassigns benefits to 2 organizations
I20170626001980 NC Practitioner - Physician Assistant 8325211121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Care and Resiliency, PLLCGroup PAC ID 5395135420, 6 clinicians

Practice addresses (Care Compare)

2766 Electric Rd
Roanoke, VA 24018-3583
Phone (540) 344-5300

9 Radford St NW
Christiansburg, VA 24073-3340
Phone (540) 344-5300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Apr 6, 2017 Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Interoperability endpoints

  • Direct secure messaging: afraley4742@direct.carilionclinic.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1477859361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 TYLER RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736374",
            "telephone_number": "540-731-7341",
            "fax_number": "540-731-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 TYLER RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736374",
            "telephone_number": "540-731-7341",
            "fax_number": "540-731-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "ANGELA",
        "middle_name": "F",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003532",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afraley4742@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "afraley4742@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 Tyler Rd",
            "city": "Christiansburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240736374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.