Individual provider Active NPI

Jason Dwayne Givan, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lynchburg, VA
National Provider Identifier
1942254172
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
0101248532 Issued in VA
Practice address
101 Candlewood CT Ste 101
Lynchburg, VA 24502-2654
Phone
(434) 363-4190
Fax
(434) 363-4191
NPI assigned
May 20, 2006
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 0101248532 VA Primary
Dermatology Physician 207N00000X 0101248532 VA
MOHS-Micrographic Surgery Physician 207ND0101X 85076-20 WI
Dermatology Physician 207N00000X 23813 ND
Dermatology Physician 207N00000X 85076-20 WI

Addresses

Primary practice location

101 Candlewood CT Ste 101
Lynchburg, VA 24502-2654

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

300 E 3rd St
Farmville, VA 23901-1510
Phone (434) 607-4599

Other practice location 2

4656 40th Ave S Ste 130
Fargo, ND 58104-4397
Phone (701) 234-8860

Other practice location 3

5201 Hickory Park Dr Ste A
Glen Allen, VA 23059-2623
Phone (804) 262-6060

Other practice location 4

2351 State Road 44
Oshkosh, WI 54904-6333
Phone (920) 651-8855

Other practice location 5

1380 American Way Unit D
Bedford, VA 24523-2940
Phone (540) 583-7114

Other practice location 6

7040 N Port Washington Rd Ste 404
Glendale, WI 53217-3885
Phone (414) 355-2405

Other practice location 7

2600 N Mayfair Rd Ste 810
Milwaukee, WI 53226-1328
Phone (414) 771-1122

Other practice location 8

1320 Pabst Farms Cir Unit 180
Oconomowoc, WI 53066-4878
Phone (262) 560-0322

Other practice location 9

278 Westlake Rd
Hardy, VA 24101-3967
Phone (540) 759-7500

Electronic endpoints 10

TypeEndpointUseAffiliation
Direct Messaging Address Jason.Givan@forefrontdermatology.emadirect.md
Direct Messaging Address Jason.Givan@forefrontdermatology.emadirect.md
Direct Messaging Address Jason.Givan@forefrontdermatology.emadirect.md
Direct Messaging Address Jason.Givan@forefrontdermatology.emadirect.md
Direct Messaging Address Jason.Givan@forefrontdermatology.emadirect.md
Direct Messaging Address Jason.Givan@forefrontdermatology.emadirect.md
Direct Messaging Address Jason.Givan@forefrontdermatology.emadirect.md
Direct Messaging Address Jason.Givan@forefrontdermatology.emadirect.md
Direct Messaging Address Jason.Givan@forefrontdermatology.emadirect.md
Direct Messaging Address Jason.Givan@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WI, ND3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110104001232 VA Practitioner - DermatologyPractitioner - Other (Physician) 3072534247 Reassigns benefits to 1 organization
I20250114001576 WI Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 3072534247 Reassigns benefits to 1 organization
I20260408002459 ND Practitioner - Dermatology 3072534247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, shared by 26 NPIs, 650 clinicians
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

101 Candlewood CT
Lynchburg, VA 24502-2654
Phone (434) 363-4190

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

4656 40TH Ave S
Fargo, ND 58104-4397

7040 N Port Washington Rd
Suite 404
Glendale, WI 53217-3885
Phone (414) 355-2405

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision124
Removal of skin lesions103
Removal of skin cancer1557
Removal or shaving of skin growth64
Skin biopsy32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23813NDMDDermatology Physician
85076-20WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 11, 2020 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jan 10, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 11, 2020 Accepting new patients

Locations

300 E 3rd St
Farmville, VA 23901
Phone (434) 607-4599

300 Enterprise Dr
Ste E
Forest, VA 24551
Phone (434) 316-7007

5201 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 262-6060

278 Westlake Rd
Hardy, VA 24101
Phone (540) 759-7500

563 Neff Ave
Ste A
Harrisonburg, VA 22801
Phone (540) 214-9870

101 Candlewood Ct
Lynchburg, VA 24502
Phone (434) 363-4190

101 Candlewood Ct
#A
Lynchburg, VA 24502

101 Candlewood Ct
Ste 101
Lynchburg, VA 24502
Phone (434) 363-4190

1400 Scheuring Rd
De Pere, WI 54115
Phone (920) 964-0229

7040 N Port Washington Rd
Ste 404
Glendale, WI 53217
Phone (414) 355-2405

1245 Cheyenne Ave
Ste 301
Grafton, WI 53024
Phone (262) 377-2222

1515 Randolph Ct
Manitowoc, WI 54220
Phone (920) 683-3278

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

1320 Pabst Farms Cir
Unit 180
Oconomowoc, WI 53066
Phone (262) 560-0322

2351 State Road 44
Oshkosh, WI 54904
Phone (920) 651-8855

2600 N Mayfair Rd
Ste 810
Wauwatosa, WI 53226
Phone (414) 771-1122

Interoperability endpoints

  • Direct secure messaging: jason.givan@forefrontdermatology.emadirect.md

Organizations & group practices 6

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 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1942254172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CANDLEWOOD CT STE 101",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022654",
            "telephone_number": "434-363-4190",
            "fax_number": "434-363-4191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239011510",
            "country_code": "US",
            "telephone_number": "434-607-4599",
            "fax_number": "434-956-3786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4656 40th Ave S Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581044397",
            "country_code": "US",
            "telephone_number": "701-234-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 Hickory Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230592623",
            "country_code": "US",
            "telephone_number": "804-262-6060",
            "fax_number": "804-262-6422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 State Road 44",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549046333",
            "country_code": "US",
            "telephone_number": "920-651-8855",
            "fax_number": "920-385-0287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 AMERICAN WAY UNIT D",
            "address_purpose": "LOCATION",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232940",
            "country_code": "US",
            "telephone_number": "540-583-7114",
            "fax_number": "540-583-7112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7040 N Port Washington Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532173885",
            "country_code": "US",
            "telephone_number": "414-355-2405",
            "fax_number": "414-355-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 N Mayfair Rd Ste 810",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532261328",
            "country_code": "US",
            "telephone_number": "414-771-1122",
            "fax_number": "414-771-1352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Pabst Farms Cir Unit 180",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530664878",
            "country_code": "US",
            "telephone_number": "262-560-0322",
            "fax_number": "262-560-0379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "278 Westlake Rd",
            "address_purpose": "LOCATION",
            "city": "Hardy",
            "state": "VA",
            "postal_code": "241013967",
            "country_code": "US",
            "telephone_number": "540-759-7500",
            "fax_number": "540-759-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIVAN",
        "first_name": "JASON",
        "middle_name": "DWAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101248532",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101248532",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WI",
            "license": "85076-20",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ND",
            "license": "23813",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "85076-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Givan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1320 Pabst Farms Cir Unit 180",
            "city": "Oconomowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530664878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Givan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2600 N Mayfair Rd Ste 810",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532261328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Givan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "300 Enterprise Dr Ste E",
            "city": "Forest",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245512732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Givan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "278 Westlake Rd",
            "city": "Hardy",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241013967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Givan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "101 Candlewood Ct Ste 101",
            "city": "Lynchburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245022654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Givan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5201 Hickory Park Dr Ste A",
            "city": "Glen Allen",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230592623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Givan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1380 AMERICAN WAY UNIT D",
            "city": "BEDFORD",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245232940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Givan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "300 E 3rd St",
            "city": "Farmville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239011510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Givan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7040 N Port Washington Rd Ste 404",
            "city": "Glendale",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532173885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Givan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2351 State Road 44",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549046333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.