Active NPI
Jessica Lynn Ghareeb
- Physician Assistant
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004786
- Practice address
- 8100 Ashton Ave Ste 200
Manassas, VA 20109-5688 - Phone
- (877) 415-4116
- NPI assigned
- Nov 19, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110004786 | VA | Primary |
Addresses
Primary practice location
8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Mailing address
8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Phone (561) 312-1081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-4360
550 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5940
Hospital & facility affiliations
- Fauquier Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Physical Medicine Associates, LTD | Past | Accepting new patients |
Locations
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
8100 Ashton Ave
Ste 200
Manassas, VA 20109
Phone (571) 581-1771
1850 Town Center Pkwy
Ste 566
Reston, VA 20190
422 Garrisonville Rd
Ste 110
Stafford, VA 22554
Phone (540) 657-6400
415 Church St NE
Ste 101
Vienna, VA 22180
Phone (571) 432-9454
559 Frost Ave
Ste 102
Warrenton, VA 20186
Phone (540) 341-7530
14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371
Interoperability endpoints
- jessica.kelly.p1@direct.chv.nextgenshare.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Warrenton, VA
- NPI 1770916983
-
- Cardiovascular Disease Physician
- Manassas, VA
- NPI 1669982526
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Interventional Pain Medicine Physician
- MC Lean, VA
- NPI 1003884560
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warrenton, VA
- NPI 1912334517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1881091874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 ASHTON AVE STE 200",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201095688",
"telephone_number": "561-312-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 ASHTON AVE STE 200",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201095688",
"telephone_number": "877-415-4116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAREEB",
"first_name": "JESSICA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-19",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.