Individual provider Active NPI

Thomas Joshua Lilley, MPAM, MED, PA-C, ATC

  • Physician Assistant
  • Lynchburg, VA
National Provider Identifier
1639560907
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008846 Issued in VA
Practice address
2405 Atherholt Rd
Lynchburg, VA 24501-2184
Phone
(434) 485-8517
Fax
(434) 485-8594
NPI assigned
Feb 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126001826 VA
Physician Assistant 363A00000X 029349 NY
Physician Assistant 363A00000X 0110008846 VA Primary

Addresses

Primary practice location

2405 Atherholt Rd
Lynchburg, VA 24501-2184

Mailing address

PO Bor 715868
Philadelphia, PA 19171-5868
Phone (804) 915-1910

Other practice location 1

46 Wesley Rd
Daleville, VA 24083-3082
Phone (540) 591-9440

Other practice location 2

14521 Forest Rd Ste D
Forest, VA 24551-4079
Phone (434) 485-8500

Other practice location 3

7374 Oswego Road
Liverpool, NY 13090-3717
Phone (717) 926-5532

Other practice location 4

1409 S Main St
Farmville, VA 23901-2531
Phone (434) 207-5170

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
I20250113001539 VA Practitioner - Physician Assistant 0749659225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Emergency Services IncGroup PAC ID 7012820889, 67 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

13205 Booker T Washington Hwy
Hardy, VA 24101-3947
Phone (540) 719-1815

1935 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441

1955 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441

4035 Electric Rd
Roanoke, VA 24018-8449

434 Peppers Ferry NW Rd
Christiansburg, VA 24073-5780
Phone (540) 382-6000

46 Wesley Rd
Daleville, VA 24083-3082
Phone (540) 591-9440

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education, Physician Assistant

State licenses

LicenseStateTypeSpecialty
0126001826VAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Jan 13, 2025 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 13, 2025 Accepting new patients
Carilion Emergency Services, Inc. CurrentSince Jan 13, 2025 Accepting new patients

Locations

434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000

46 Wesley Rd
Daleville, VA 24083
Phone (540) 591-9440

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: tlilley189086@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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1639560907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOR 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715868",
            "telephone_number": "804-915-1910",
            "fax_number": "804-968-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012184",
            "telephone_number": "434-485-8517",
            "fax_number": "434-485-8594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Wesley Rd",
            "address_purpose": "LOCATION",
            "city": "Daleville",
            "state": "VA",
            "postal_code": "240833082",
            "country_code": "US",
            "telephone_number": "540-591-9440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14521 Forest Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245514079",
            "country_code": "US",
            "telephone_number": "434-485-8500",
            "fax_number": "434-485-8599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7374 Oswego Road",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130903717",
            "country_code": "US",
            "telephone_number": "717-926-5532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1409 S Main St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239012531",
            "country_code": "US",
            "telephone_number": "434-207-5170",
            "fax_number": "434-485-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLEY",
        "first_name": "THOMAS",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "MPAM, MED, PA-C, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-09",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001826",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029349",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.