MR. STEWART GARY ACKERMAN PA-C
NPI 1356315790
Physician Assistant - Medical in Fort Gregg Adams, VA

Active since February 14, 2006PECOS Enrolled
700 24TH ST, FORT GREGG ADAMS, VA 23801(804) 734-9159(877) 874-1008 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Stewart Gary Ackerman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. STEWART GARY ACKERMAN PA-C (NPI 1356315790) is an individual medical provider in Fort Gregg Adams, Virginia, licensed in Pennsylvania (MA051938) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356315790
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. STEWART GARY ACKERMANCredential: PA-C
Location Address700 24TH STFort Gregg Adams, VA 23801-1716
Mailing Address700 24th StFort Gregg Adams, VA 23801-1716 · (804) 734-9159 · Fax (877) 874-1008
Fax(877) 874-1008
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateFebruary 4, 2025
NPPES CertifiedFebruary 4, 2025
NPI 1356315790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA051938
700 24TH ST, Fort Gregg Adams, VA 23801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Stewart Gary Ackerman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Forensic Psychiatry)
700 24TH ST
FORT LEE, VA 23801
Physician Assistant
700 24TH ST
FORT LEE, VA 23801
Licensed Practical Nurse
700 24TH ST
FORT LEE, VA 23801
Licensed Practical Nurse
700 24TH ST
FORT LEE, VA 23801
Registered Nurse (Community Health)
700 24TH ST
FORT LEE, VA 23801
Licensed Practical Nurse
700 24TH ST
FORT LEE, VA 23801
Registered Nurse (Occupational Health)
700 24TH ST
FORT LEE, VA 23801
Nurse Practitioner (Women's Health)
700 24TH ST
FORT LEE, VA 23801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356315790, enumerated as an "individual" on February 14, 2006.

The provider is located at 700 24TH ST FORT GREGG ADAMS, VA 23801 and the phone number is (804) 734-9159.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.