Amanda Ayers, PA-C
Physician Assistant in Woodbridge, VA. Individual provider (NPI-1).
NPI number1982161782
StatusActive
Last updated in NPPESSep 19, 2024
Details
- NPI
- 1982161782
- Entity type
- Individual (NPI-1)
- Name
- Amanda Ayers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2019
- Certification date
- Sep 13, 2024
- Last updated
- Sep 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110007512 | VA | Yes |
| 363A00000X | Physician Assistant | – | – |
Other names
- Amanda Laurent (Former Name)
Practice location
14904 Jefferson Davis Hwy Ste 203Woodbridge, VA 22191-3908
Phone 703-492-6660
Mailing address
14904 Jefferson Davis Hwy Ste 203Woodbridge, VA 22191-3908
Phone 703-492-6660 · Fax 703-492-6661
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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