Individual provider Active NPI

Alexis Halling, PA-C

  • Medical Physician Assistant
  • Falls Church, VA
National Provider Identifier
1639654072
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110006300 Issued in VA
Practice address
431 Park Ave Ste 300
Falls Church, VA 22046-3305
Phone
(571) 777-9905
Fax
(703) 525-1967
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 0110006300 VA Primary

Addresses

Primary practice location

431 Park Ave Ste 300
Falls Church, VA 22046-3305

Mailing address

431 Park Ave Ste 300
Falls Church, VA 22046-3305
Phone (703) 528-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20200604002306 DC Practitioner - Physician Assistant 3870914559 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 Obstetrics & Gynecology CurrentSince Apr 11, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 11, 2025 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

431 Park Ave
Ste 300
Falls Church, VA 22046
Phone (703) 528-6300

1860 Town Center Dr
Ste 240
Reston, VA 20190
Phone (703) 327-1662

Interoperability endpoints

  • Direct secure messaging: alexis.halling.1@8042.direct.athenahealth.com

Organizations & group practices 2

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1639654072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 PARK AVE STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463305",
            "telephone_number": "703-528-6300",
            "fax_number": "703-525-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PARK AVE STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463305",
            "telephone_number": "571-777-9905",
            "fax_number": "703-525-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLING",
        "first_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110006300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.