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MEDIC 1
NPI 1417981648
Physician Assistant - Medical in Fredericksburg, VA

Active since July 11, 2006
3429 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22408(540) 371-1664(540) 371-2411 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Medic 1 NPPES

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

MEDIC 1 (NPI 1417981648) is a healthcare organization registered as a medical in Fredericksburg, Virginia and active in the NPI registry since July 2006. The organization lists Aimee Vanessa Hegadorn, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1417981648
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameMEDIC 1
Location Address3429 JEFFERSON DAVIS HWYFredericksburg, VA 22408
Mailing Address3429 Jefferson Davis HwyFredericksburg, VA 22408 · (540) 371-1664 · Fax (540) 371-2411
Phone(540) 371-1664
Fax(540) 371-2411
Organization SubpartNo
Authorized OfficialAimee Vanessa HegadornPractice Manager · (540) 371-1664
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1417981648 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 VA · 0110001678
3429 JEFFERSON DAVIS HWY, Fredericksburg, VA 22408
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. ALFRED LARRY BOULWARE M.D.
Internal Medicine
3429 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 371-1664
MEDIC 1 CLINICS, INC.
Family Medicine
3429 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 371-1664

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 Medic 1's NPI number?

The NPI number for Medic 1 is 1417981648. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Medic 1 located?

Medic 1 is located at 3429 Jefferson Davis Hwy, Fredericksburg, VA 22408. The listed phone number is (540) 371-1664.

What is Medic 1's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Medic 1 was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.