Active NPI
Sawyer Agnew
- Physician Assistant
- Moneta, VA
National Provider Identifier
1922944669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110012018
- Practice address
- 4830 Rucker Rd
Moneta, VA 24121-5281 - Phone
- (540) 297-7181
- NPI assigned
- Apr 27, 2026
- Last updated
- Jun 16, 2026
- Sex
- Unspecified or another gender identity
- 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 | 0110012018 | VA | Primary |
Addresses
Primary practice location
4830 Rucker Rd
Moneta, VA 24121-5281
Mailing address
41 Demra St
Charleston, WV 25320-7165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110012018 | VA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1922944669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 DEMRA ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253207165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 RUCKER RD",
"city": "MONETA",
"state": "VA",
"postal_code": "241215281",
"telephone_number": "540-297-7181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGNEW",
"first_name": "SAWYER",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-04-27",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110012018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moneta, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.