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

Corey Dewitt, MD

Individual provider Dermatology Physician · NPI 1417342890

Corey Dewitt, MD is a Dermatology in Leesburg, Virginia. Graduated from Geisel School of Medicine at Dartmouth in 2015, 11 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland, Maine and Virginia.

Years since qualifying
11
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
MD, ME, VA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19465 Deerfield Ave Ste 401
Leesburg, VA 20176-1707
Phone: (703) 723-5700
Fax: (703) 723-5778
Show map & directions

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

Additional practice locations (1)

  • 75 Thomas Johnson Dr Ste H, Frederick, MD 21702-4895 — (240) 453-0050

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 0101275415 (VA)
Dermatology Physician Taxonomy 207N00000X · Licence MD23389 (ME)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence D91604 (MD)

Record details

NPI number1417342890
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 1, 2015
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address224-D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 2015 (11 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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