Individual provider Active NPI

Emily Elizabeth Gardner, PA-C

  • Medical Physician Assistant
  • Manassas, VA
National Provider Identifier
1689054306
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110005373 Issued in VA
Practice address
9450 Innovation Dr
Manassas, VA 20110-2214
Phone
(571) 350-8400
Fax
(571) 222-2202
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110005373 VA
Medical Physician Assistant 363AM0700X 0110005373 VA Primary

Addresses

Primary practice location

9450 Innovation Dr
Manassas, VA 20110-2214

Mailing address

3718 1St Rd S
Arlington, VA 22204-1602
Phone (703) 505-2744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20190716000760 DC Practitioner - Physician Assistant 0446551501 Reassigns benefits to 1 organization
I20190723002664 VA Practitioner - Physician Assistant 0446551501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Virginia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Cancer Specialists, P.C.Group PAC ID 2264412485, 80 clinicians

Practice addresses (Care Compare)

2280 Opitz Blvd
Suite 130
Woodbridge, VA 22191-3362
Phone (703) 986-1600

4660 Kenmore Ave
Suite 1018
Alexandria, VA 22304-1306
Phone (571) 483-1800

8613 Route 29
Suite 100N
Fairfax, VA 22031-2172
Phone (703) 934-4450

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Specialists, P.C. CurrentSince May 9, 2023 Accepting new patients

Locations

277 S Washington St
Ste 100
Alexandria, VA 22314
Phone (571) 366-5792

4660 Kenmore Ave
Ste 1018
Alexandria, VA 22304
Phone (571) 483-1800

1100 N Glebe Rd
Ste 1600
Arlington, VA 22201

8613 Route 29
Ste 100N
Fairfax, VA 22031
Phone (703) 934-4450

8613 Route 29
Ste 101
Fairfax, VA 22031
Phone (703) 783-4510

8613 Route 29
Ste 200N
Fairfax, VA 22031
Phone (703) 208-3120

3040 Williams Dr
Ste 100
Fairfax, VA 22031

3700 Joseph Siewick Dr
Ste 408
Fairfax, VA 22033
Phone (703) 391-4212

44035 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 208-3155

44035 Riverside Pkwy
Ste 310
Leesburg, VA 20176

9450 Innovation Dr
Manassas, VA 20110
Phone (571) 222-2200

1860 Town Center Dr
Ste 460
Reston, VA 20190
Phone (703) 437-6535

210 W Shirley Ave
Ste 192
Warrenton, VA 20186
Phone (540) 316-4360

210 W Shirley Ave
#111
Warrenton, VA 20186
Phone (703) 208-9331

2280 Opitz Blvd
#130
Woodbridge, VA 22191
Phone (703) 897-5358

2280 Opitz Blvd
Ste 130
Woodbridge, VA 22191
Phone (713) 508-4005

2280 Opitz Blvd
Ste 300
Woodbridge, VA 22191
Phone (703) 897-5358

Interoperability endpoints

  • Direct secure messaging: emily.gardner@vcs.ikm.direct-ci.com

Organizations & group practices 1

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 3

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1689054306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 1ST RD S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041602",
            "telephone_number": "703-505-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 INNOVATION DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102214",
            "telephone_number": "571-350-8400",
            "fax_number": "571-222-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005373",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110005373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.