LYDIA WILLIS WHITE PA-C
NPI 1396455937
Physician Assistant in Suffolk, VA

Active since December 05, 2022PECOS EnrolledAccepts Medicare Assignment
5838 HARBOUR VIEW BLVD STE 100, SUFFOLK, VA 23435(757) 673-5680(757) 483-3075 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2025, Jun 7, 2023, Jan 22, 2023 and 1 more (4 updates tracked since 2022).

About Lydia Willis White Pa-c NPPES

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

LYDIA WILLIS WHITE PA-C (NPI 1396455937) is an individual physician assistant in Suffolk, Virginia, licensed in Virginia (0110009295) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and is a graduate of Eastern Virginia Medical School (2023).

NPPES Registry Identity

NPI1396455937
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLYDIA WILLIS WHITECredential: PA-C
Location Address5838 HARBOUR VIEW BLVD STE 100Suffolk, VA 23435-2663
Mailing AddressPo Box 639971Cincinnati, OH 45263-9971
Fax(757) 483-3075
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2023
Enumeration DateDecember 5, 2022
Last NPPES UpdateDecember 17, 20254 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1396455937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110009295
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5838 HARBOUR VIEW BLVD STE 100, Suffolk, VA 23435

Other Names 1

Former Name (1)Lydia Willis

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lydia Willis White Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820446321
PECOS Enrollment IDI20231121003902
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
83 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services60 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
64 services49 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
60 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
43 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
5838 HARBOUR VIEW BLVD STE 100
SUFFOLK, VA 23435
Orthopaedic Surgery
5838 HARBOUR VIEW BLVD STE 100
SUFFOLK, VA 23435
Orthopaedic Surgery
5838 HARBOUR VIEW BLVD STE 100
SUFFOLK, VA 23435
Orthopaedic Surgery (Foot and Ankle Surgery)
5838 HARBOUR VIEW BLVD STE 100
SUFFOLK, VA 23435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia White's NPI number?

The NPI number for Lydia White is 1396455937. It was assigned to this individual provider in the NPPES registry on December 5, 2022. The provider is also known as Lydia Willis.

Where is Lydia White located?

Lydia White practices at 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435. The listed phone number is (757) 673-5680.

What is Lydia White's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lydia White enrolled in Medicare?

Yes. Lydia White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lydia White affiliated with any hospitals?

According to CMS data, Lydia White is affiliated with Bon Secours Maryview Medical Center and Sentara Obici Hospital.

When was this NPI record last updated?

The NPPES record for Lydia White was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.