Active NPI
Sheradyn Pitzer, PA-C
- Physician Assistant
- King George, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004991
- Practice address
- 11131 Journal Pkwy Ste a
King George, VA 22485-3468 - Phone
- (540) 741-6982
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0110004991 | VA | |
| Physician Assistant | 363A00000X | 0110004991 | VA | Primary |
Addresses
Primary practice location
11131 Journal Pkwy Ste a
King George, VA 22485-3468
Mailing address
1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940
Phone (540) 741-4254
Other practice location 1
817 Volvo Pkwy
Chesapeake, VA 23320-2855
Phone (757) 668-4630
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11131 Journal Pkwy
Suite a
King George, VA 22485-3468
Phone (540) 709-5173
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110004991 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MWHC Urgent Care LLC | Current | Accepting new patients |
Locations
11131 Journal Pkwy
Ste A
King George, VA 22485
Phone (540) 709-5173
Interoperability endpoints
- spitzer135013@marywashingtonhealthcare.direct-ci.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.
-
- Urgent Care Clinic/Center
- King George, VA
- NPI 1306405709
-
- Urgent Care Clinic/Center
- Stafford, VA
- NPI 1629846951
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1689040354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 CENTRAL PARK BLVD STE 100",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014940",
"telephone_number": "540-741-4254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11131 JOURNAL PKWY STE A",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224853468",
"telephone_number": "540-741-6982"
}
],
"practiceLocations": [
{
"address_1": "817 Volvo Pkwy",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233202855",
"country_code": "US",
"telephone_number": "757-668-4630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITZER",
"first_name": "SHERADYN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0110004991",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King George, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.