Active NPI
Amanda Ayers, PA-C
- Physician Assistant
- Woodbridge, VA
National Provider Identifier
1982161782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110007512
- Practice address
- 14904 Jefferson Davis Hwy Ste 203
Woodbridge, VA 22191-3908 - Phone
- (703) 492-6660
- NPI assigned
- Feb 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110007512 | VA | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
14904 Jefferson Davis Hwy Ste 203
Woodbridge, VA 22191-3908
Mailing address
14904 Jefferson Davis Hwy Ste 203
Woodbridge, VA 22191-3908
Phone (703) 492-6660
Other names 1
- Amanda Laurent
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PracticeFusion |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14904 Jefferson Davis Hwy
Suite 203
Woodbridge, VA 22191-3908
14904 Richmond Hwy
Woodbridge, VA 22191-3908
Phone (703) 492-6660
Hospital & facility affiliations
- Sentara Northern Virginia Medical Center
- Mary Washington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 56.69 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 88.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110007512 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthritis Care Center PC | Past | Accepting new patients | |
| Digestive Disease Physicians, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBIBAA
Organizations & group practices 3
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.
-
- Rheumatology Physician
- Woodbridge, VA
- NPI 1366895567
-
- Rheumatology Physician
- Woodbridge, VA
- NPI 1033171491
-
- Gastroenterology Physician
- Alexandria, VA
- NPI 1750500724
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1982161782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14904 JEFFERSON DAVIS HWY STE 203",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913908",
"telephone_number": "703-492-6660",
"fax_number": "703-492-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14904 JEFFERSON DAVIS HWY STE 203",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913908",
"telephone_number": "703-492-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYERS",
"first_name": "AMANDA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2024-09-19",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110007512",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PracticeFusion",
"affiliation": "N",
"address_1": "14904 Jefferson Davis Hwy Ste 203",
"city": "Woodbridge",
"state": "VA",
"country_code": "US",
"postal_code": "221913908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "LAURENT",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.