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DERRICK JOHN MATHIS ALFA
NPI 1780822841
Nursing Home Administrator in Manassas, VA

Active since January 28, 2009
9827 SUDLEY MANOR DR, MANASSAS, VA 20109(703) 530-7751 Get Directions Write a Review

NPPES record last updated: January 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick John Mathis Alfa NPPES

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

DERRICK JOHN MATHIS ALFA (NPI 1780822841) is an individual nursing home administrator provider in Manassas, Virginia, licensed in Virginia (1706000192) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1780822841
Entity TypeIndividualMale
Primary Taxonomy376G00000X
Provider Legal NameDERRICK JOHN MATHISCredential: ALFA
Location Address9827 SUDLEY MANOR DRManassas, VA 20109-6232
Mailing Address9827 Sudley Manor DrManassas, VA 20109-6232 · (703) 530-7751
Phone(703) 530-7751
Sole ProprietorYes
Enumeration DateJanuary 28, 2009
✔ NPI 1780822841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
License✔ Licensed in VA · 1706000192
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
9827 SUDLEY MANOR DR, Manassas, VA 20109
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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 Derrick Mathis's NPI number?

The NPI number for Derrick Mathis is 1780822841. It was assigned to this individual provider in the NPPES registry on January 28, 2009.

Where is Derrick Mathis located?

Derrick Mathis practices at 9827 Sudley Manor Dr, Manassas, VA 20109. The listed phone number is (703) 530-7751.

What is Derrick Mathis's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Derrick Mathis was last updated on January 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.