Jaime Van Kirk McCoy

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110007983 Issued in VA

Practice address

15028 Quaker Church Rd
Montpelier, VA 23192-2709

Phone

(757) 345-9212

NPI assigned

Oct 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1982201760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 PADGETTS ORDINARY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855578",
            "telephone_number": "757-345-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15028 QUAKER CHURCH RD",
            "city": "MONTPELIER",
            "state": "VA",
            "postal_code": "231922709",
            "telephone_number": "757-345-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "JAIME",
        "middle_name": "VAN KIRK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110007983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda G. Kelley, O.D.
• Rebekah Schell Liberty, D.C.
• Emile L.B. Lynch, RN
• Matthew Aldred, D.D.S., P.C.
• Lisa Carol McClanahan
• Karen K Milstead, FNP
• Montpelier Family Chiropractic, LLC
• Montpelier Family Practice PC
• Montpelierrph Inc
• Tracy Morris

• Medical Physician Assistant in Montpelier, VA
• Providers in Montpelier, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.