Individual provider Active NPI

Ashley Blalock Hutton, PA-C

  • Medical Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1639478324
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003557 Issued in VA
Practice address
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone
(757) 490-9388
Fax
(757) 490-9401
NPI assigned
Mar 21, 2011
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110003557 VA Primary

Addresses

Primary practice location

736 Battlefield Blvd N
Chesapeake, VA 23320-4941

Mailing address

109G Gainsborough SQ
Box 723
Chesapeake, VA 23320
Phone (757) 490-9388

Other names 1

  • Ashley Dianne Blalock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20110429000432 VA Practitioner - Physician Assistant 7113102443 Reassigns benefits to 3 organizations
I20251007002886 DC Practitioner - Physician Assistant 7113102443 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

1239 Cedar Rd
Chesapeake, VA 23322-7103
Phone (757) 549-9935

1605 General Booth Blvd
Virginia Beach, VA 23454-5691
Phone (757) 721-0512

2304 W Mercury Blvd
Hampton, VA 23666-3115
Phone (757) 951-1579

2425 Taylor Rd
Chesapeake, VA 23321-2201
Phone (757) 215-1800

332 Newtown Rd
Virginia Beach, VA 23462-1793
Phone (757) 473-8400

3432 Holland Rd
Virginia Beach, VA 23452-4846
Phone (757) 468-1855

5486 Indian River Rd
Virginia Beach, VA 23464-5365
Phone (757) 424-2490

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

611 Denbigh Blvd
Newport News, VA 23608-4415
Phone (757) 283-8300

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as group
Quality
88.62
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110003557VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Jul 25, 2025 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Jul 25, 2025 Accepting new patients
Chesapeake Observation Medicine Specialists, P.C. CurrentSince Jan 22, 2026 Accepting new patients
Tidewater Emergency Medical Care PastSince Feb 2, 2020 Accepting new patients
Patient First Richmond Medical Group PLLC Past Accepting new patients
Open MRI of Fairview Past Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

109 Gainsborough Sq
Ste G
Chesapeake, VA 23320
Phone (757) 490-9388

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

3432 Holland Rd
Virginia Beach, VA 23452
Phone (757) 468-1855

Organizations & group practices 7

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1639478324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109G GAINSBOROUGH SQ",
            "address_2": "BOX 723",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-490-9388",
            "fax_number": "757-490-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BATTLEFIELD BLVD N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204941",
            "telephone_number": "757-490-9388",
            "fax_number": "757-490-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "ASHLEY",
        "middle_name": "BLALOCK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BLALOCK",
            "middle_name": "DIANNE",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.