Individual provider Active NPI

Gwendolyn E Baldwin, PA-C

  • Physician Assistant
  • Charlottesville, VA
National Provider Identifier
1548291255
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004365 Issued in VA
Practice address
3025 Berkmar Dr Ste 1
Charlottesville, VA 22901-1456
Phone
(434) 973-1831
Fax
(434) 973-3120
NPI assigned
Jul 5, 2006
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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 0110004365 VA Primary

Addresses

Primary practice location

3025 Berkmar Dr Ste 1
Charlottesville, VA 22901-1456

Mailing address

3025 Berkmar Dr Ste 1
Charlottesville, VA 22901-1456
Phone (434) 973-1831

Other names 1

  • Gwendolyn Palamarchuk 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
I20170525000041 VA Practitioner - Physician Assistant 0840214268 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 14, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 14, 2017 Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients

Locations

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

3025 Berkmar Dr
Ste 1
Charlottesvle, VA 22901
Phone (434) 973-1831

8644 Sudley Rd
#220
Manassas, VA 20110

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, 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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1548291255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BERKMAR DR STE 1",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011456",
            "telephone_number": "434-973-1831",
            "fax_number": "434-973-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 BERKMAR DR STE 1",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011456",
            "telephone_number": "434-973-1831",
            "fax_number": "434-973-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "GWENDOLYN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "PALAMARCHUK",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.