Individual provider Active NPI

Gladys Ann Wilkins, PA-C

  • Medical Physician Assistant
  • White Plains, MD
National Provider Identifier
1992952949
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0001408 Issued in MD
Practice address
4470 Regency PL Ste 106
White Plains, MD 20695-3085
Phone
(240) 252-2140
Fax
(240) 252-2141
NPI assigned
Aug 21, 2008
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110006154 VA
Medical Physician Assistant 363AM0700X C0001408 MD Primary

Addresses

Primary practice location

4470 Regency PL Ste 106
White Plains, MD 20695-3085

Mailing address

4470 Regency PL Ste 106
White Plains, MD 20695-3085
Phone (240) 252-2140

Other practice location 1

1005 N Glebe Rd Ste 470
Arlington, VA 22201-5932
Phone (240) 252-2140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180508000677 DC Practitioner - Physician Assistant 2668512625 Reassigns benefits to 1 organization
I20180607001364 VA Practitioner - Physician Assistant 2668512625 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0001408MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 27, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 27, 2018 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

8644 Sudley Rd
#220
Manassas, VA 20110

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.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1992952949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 REGENCY PL STE 106",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953085",
            "telephone_number": "240-252-2140",
            "fax_number": "240-252-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 REGENCY PL STE 106",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953085",
            "telephone_number": "240-252-2140",
            "fax_number": "240-252-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 N Glebe Rd Ste 470",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015932",
            "country_code": "US",
            "telephone_number": "240-252-2140",
            "fax_number": "240-252-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "GLADYS",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006154",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0001408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.