NPIMap

Individual provider Active NPI

Nithya Merin John, PA-C

  • Physician Assistant
  • Forest, VA
National Provider Identifier
1942192034
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2103 Graves Mill Rd
Forest, VA 24551-2675
Phone
(434) 316-7199
Fax
(434) 316-6185
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 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 Primary

Addresses

Primary practice location

2103 Graves Mill Rd
Forest, VA 24551-2675

Mailing address

2103 Graves Mill Rd
Forest, VA 24551-2675
Phone (434) 316-7199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030003591 VA Practitioner - Physician Assistant 5890284624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Access Healthcare Multi-Specialty Group PLLCGroup PAC ID 4789922790, 5 clinicians

Practice addresses (Care Compare)

2103 Graves Mill Rd
Forest, VA 24551-2675
Phone (434) 316-7199

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Healthcare Multi-Specialty Group, PLLC CurrentSince Oct 16, 2025 Accepting new patients
Access Healthcare Inc Current Accepting new patients

Locations

2103 Graves Mill Rd
Forest, VA 24551
Phone (434) 316-7190

Interoperability endpoints

  • Direct secure messaging: nithya.john.1@18860.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18860/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 7

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": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1942192034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 GRAVES MILL RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512675",
            "telephone_number": "434-316-7199",
            "fax_number": "434-316-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 GRAVES MILL RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512675",
            "telephone_number": "434-316-7199",
            "fax_number": "434-316-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "NITHYA",
        "middle_name": "MERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.