Individual provider Active NPI

Virginia Grace Matheson, MD

  • Psychiatry Physician
  • Sterling, VA
National Provider Identifier
1508838244
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101279717 Issued in VA
Practice address
46050 Manekin PLZ Ste 110
Sterling, VA 20166-6519
Phone
(703) 218-8500
Fax
(703) 359-0463
NPI assigned
Feb 6, 2006
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35081518 OH
Psychiatry Physician 2084P0800X 0101279717 VA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 35081518 OH

Addresses

Primary practice location

46050 Manekin PLZ Ste 110
Sterling, VA 20166-6519

Mailing address

46050 Manekin PLZ Ste 110
Sterling, VA 20166-6519
Phone (703) 218-8500

Other practice location 1

11200 Waples Mill Rd Ste 180
Fairfax, VA 22030-7407
Phone (703) 218-8500

Other practice location 2

11204 Waples Mill Rd
Fairfax, VA 22030-6036
Phone (703) 218-8500

Other identifiers 1

IdentifierTypeStateIssuer
3120723MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 1, 2026 through Jun 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35081518OHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jul 13, 2024 Accepting new patients
Inova Health Care Services Psychiatry CurrentSince Jul 13, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Inova Kellar Center PastSince Mar 17, 2024 Accepting new patients

Locations

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

46050 Manekin Plz
Ste 110
Sterling, VA 20166
Phone (571) 330-3117

Interoperability endpoints

  • Direct secure messaging: vmatheson1268748@soc.inova.org

Organizations & group practices 4

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1508838244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46050 MANEKIN PLZ STE 110",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666519",
            "telephone_number": "703-218-8500",
            "fax_number": "703-359-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46050 MANEKIN PLZ STE 110",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666519",
            "telephone_number": "703-218-8500",
            "fax_number": "703-359-0463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11200 Waples Mill Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220307407",
            "country_code": "US",
            "telephone_number": "703-218-8500",
            "fax_number": "703-359-0463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11204 Waples Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220306036",
            "country_code": "US",
            "telephone_number": "703-218-8500",
            "fax_number": "703-359-0463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "VIRGINIA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35081518",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101279717",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35081518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3120723",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.