Individual provider Active NPI

Leila A Corker, PA-C

  • Physician Assistant
  • Fairfax, VA
National Provider Identifier
1841951282
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110009153 Issued in VA
Practice address
11402 Aristotle Dr Apt 406
Fairfax, VA 22030-7525
Phone
(703) 479-6902
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110009153 VA Primary

Addresses

Primary practice location

11402 Aristotle Dr Apt 406
Fairfax, VA 22030-7525

Mailing address

11402 Aristotle Dr Apt 406
Fairfax, VA 22030-7525
Phone (703) 479-6902

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
I20230407001875 VA Practitioner - Physician Assistant 5395110159 Reassigns benefits to 2 organizations
I20251027002410 DC Practitioner - Physician Assistant 5395110159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates VA, LLCGroup PAC ID 2466449228, 51 clinicians
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

170 W Shirley Ave
Suite 205
Warrenton, VA 20186-3083
Phone (540) 347-2470

3022 Williams Dr
Suite 301
Fairfax, VA 22031-4600
Phone (703) 698-8960

3700 Joseph Siewick Dr
Suite 308
Fairfax, VA 22033-1739
Phone (703) 716-8700

8640 Sudley Rd
Suite 201
Manassas, VA 20110-4404
Phone (703) 368-6819

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110009153VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Northern Virginia, LLC CurrentSince Nov 1, 2025 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

3700 Joseph Siewick Dr
Ste 308
Fairfax, VA 22033
Phone (703) 716-8700

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

3028 Javier Rd
Ste 300
Fairfax, VA 22031
Phone (703) 895-3740

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

Interoperability endpoints

  • Direct secure messaging: leila.corker@gastrohealth.eclinicaldirectplus.com

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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1841951282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 ARISTOTLE DR APT 406",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307525",
            "telephone_number": "703-479-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 ARISTOTLE DR APT 406",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307525",
            "telephone_number": "703-479-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKER",
        "first_name": "LEILA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.