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

Andrew Lee Judy, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1275150948

Andrew Lee Judy, PHYSICIANASSISTANT is a Physician Assistant in Roanoke, Virginia. Qualified in 2020, 6 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

101 Elm Ave SE
Roanoke, VA 24013-2222
Phone: (888) 985-8483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13710 St Francis Blvd, Midlothian, VA 23114-3267 — (804) 423-8467

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008142 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1275150948
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 29, 2020
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Roanoke