Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice Innis, PA-C

Individual provider Physician Assistant · NPI 1093574626

Alice Innis, PA-C is a Physician Assistant in Prince George, Virginia. Qualified in 2025, 1 year ago. Practices with Orthovirginia Inc, a 570-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4710 Puddledock Rd Ste 100
Prince George, VA 23875-1269
Phone: (804) 732-0095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110011449 (VA)

Record details

NPI number1093574626
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Orthovirginia Inc — 570 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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