Individual provider Active NPI

Payton Hatcher Dickman, PA-C

  • Physician Assistant
  • Fishersville, VA
National Provider Identifier
1861169476
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008227 Issued in VA
Practice address
9 S Medical Park Dr
Fishersville, VA 22939-2333
Phone
(540) 245-7350
Fax
(540) 245-7360
NPI assigned
Aug 23, 2021
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 0110008227 VA Primary

Addresses

Primary practice location

9 S Medical Park Dr
Fishersville, VA 22939-2333

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5275

Other practice location 1

110 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone (540) 382-9405

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payton.dickman.1@14718.direct.athenahealth.com

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
I20211227000006 VA Practitioner - Physician Assistant 0143611376 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

9 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 245-7350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110008227VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Dec 20, 2021 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jun 4, 2025 Accepting new patients
Augusta Medical Group CurrentSince Dec 15, 2025 Accepting new patients
Augusta Medical Group CurrentSince Dec 15, 2025 Accepting new patients
Carilion Healthcare Corporation CurrentSince Dec 20, 2021 Accepting new patients
Carilion Medical Center CurrentSince Dec 20, 2021 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jun 4, 2025 Accepting new patients

Locations

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

110 Akers Farm Rd
Christiansburg, VA 24073
Phone (540) 382-9405

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

9 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 245-7350

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

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

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
  • Direct secure messaging: payton.dickman.1@14718.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1861169476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-932-5275",
            "fax_number": "540-932-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S MEDICAL PARK DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392333",
            "telephone_number": "540-245-7350",
            "fax_number": "540-245-7360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Akers Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240734863",
            "country_code": "US",
            "telephone_number": "540-382-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKMAN",
        "first_name": "PAYTON",
        "middle_name": "HATCHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payton.dickman.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "9 S Medical Park Dr",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.