Individual provider Active NPI

Austin Mitchell Grant, PA-C

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1891927893
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003070 Issued in VA
Practice address
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone
(540) 741-1167
Fax
(540) 741-1164
NPI assigned
Aug 10, 2009
Last updated
Feb 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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 0110003070 VA Primary

Addresses

Primary practice location

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Mailing address

3210 Sydenham St
Fairfax, VA 22031-4844
Phone (757) 647-1897

Other practice location 1

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agrant123868@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, WV, MP4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20090903000550 VA Practitioner - Physician Assistant 8820143449 Reassigns benefits to 5 organizations
I20111114000242 DC Practitioner - Physician Assistant 8820143449 Reassigns benefits to 1 organization
I20130814000584 WV Practitioner - Physician Assistant 8820143449 Reassigns benefits to 2 organizations
I20220107001549 MP Practitioner - Physician Assistant 8820143449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Memorial HospitalGroup PAC ID 0446151989, 33 clinicians

Practice addresses (Care Compare)

300 S Preston St
Ranson, WV 25438-1631
Phone (304) 728-1669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1721WVMDMental Health Counselor
0110003070VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Apr 19, 2018 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Oct 22, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Nov 1, 2011 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Dec 1, 2021 Accepting new patients
Jefferson Memorial Hospital CurrentSince Aug 30, 2022 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jan 6, 2020 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Dec 1, 2013 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Dec 1, 2013 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Dec 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Nov 1, 2011 Accepting new patients
Jefferson Memorial Hospital CurrentSince Dec 5, 2025 Accepting new patients
Jefferson Memorial Hospital Past Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 320
Winchester, VA 22601

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Interoperability endpoints

  • Direct secure messaging: agrant123868@soc.inova.org
  • Direct secure messaging: agrant123868@valleyhealth.direct-ci.com
  • Direct secure messaging: agrant30983@direct.wvuhsdirect.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1891927893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 SYDENHAM ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314844",
            "telephone_number": "757-647-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-741-1167",
            "fax_number": "540-741-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "AUSTIN",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agrant123868@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.