Individual provider Active NPI

Stacy Alice Watkins, PA-C

  • Physician Assistant
  • Norfolk, VA
National Provider Identifier
1619440559
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008784 Issued in VA
Practice address
6251 E Virginia Beach Blvd Ste 200
Norfolk, VA 23502-2800
Phone
(757) 466-8683
Fax
(757) 466-8892
NPI assigned
Jan 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-08906 NC
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 0110008784 VA Primary

Addresses

Primary practice location

6251 E Virginia Beach Blvd Ste 200
Norfolk, VA 23502-2800

Mailing address

6350 Center Dr Ste 200
Norfolk, VA 23502-4107
Phone (757) 905-5558

Other practice location 1

905 Thunder Rd Ste 250
Elizabeth City, NC 27909-7672
Phone (252) 331-2044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190313002086 FL Practitioner - Physician Assistant 3577803352 Reassigns benefits to 1 organization
I20210322002415 NC Practitioner - Physician Assistant 3577803352 Reassigns benefits to 3 organizations
I20250214000433 VA Practitioner - Physician Assistant 3577803352

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Oncology AssociatesGroup PAC ID 2769395797, 100 clinicians

Practice addresses (Care Compare)

6350 Ctr Dr
Suite 200
Norfolk, VA 23502

6350 Ctr Dr
Suite 200
Norfolk, VA 23502-4107

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Apr 1, 2019 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Apr 12, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Apr 1, 2019 Accepting new patients
Virginia Oncology Associates CurrentSince Apr 4, 2023 Accepting new patients
Virginia Oncology Associates CurrentSince Apr 4, 2023 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

905 Thunder Rd
Ste 250
Elizabeth City, NC 27909
Phone (252) 331-2044

1503 N Road St
#B
Elizabeth Cty, NC 27909
Phone (252) 331-2044

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

744 Battlefield Blvd N
#200
Chesapeake, VA 23320
Phone (757) 549-4403

3000 Coliseum Dr
Ste 100
Hampton, VA 23666
Phone (757) 736-7250

3000 Coliseum Dr
Ste 104
Hampton, VA 23666
Phone (757) 827-9400

1051 Loftis Blvd
Ste 100
Newport News, VA 23606
Phone (757) 873-9400

6251 E Virginia Beach Blvd
Ste 200
Norfolk, VA 23502
Phone (757) 466-8683

6350 Center Dr
Ste 200
Norfolk, VA 23502

5900 Lake Wright Dr
Norfolk, VA 23502
Phone (757) 466-8683

3910 Bridge Rd
Ste 400
Suffolk, VA 23435
Phone (757) 484-0215

2790 Godwin Blvd
Ste 101
Suffolk, VA 23434
Phone (757) 539-0670

1950 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 368-0437

500 Sentara Cir
Ste 203
Williamsburg, VA 23188
Phone (757) 229-2236

Interoperability endpoints

  • Direct secure messaging: stacy.mills@voa.ikm.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1619440559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 CENTER DR STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024107",
            "telephone_number": "757-905-5558",
            "fax_number": "757-213-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 E VIRGINIA BEACH BLVD STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022800",
            "telephone_number": "757-466-8683",
            "fax_number": "757-466-8892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Thunder Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279097672",
            "country_code": "US",
            "telephone_number": "252-331-2044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "STACY",
        "middle_name": "ALICE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08906",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.