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

Danielle Nicole Lodge

Individual provider Medical Physician Assistant · NPI 1699626515

Danielle Nicole Lodge is a Physician Assistant in Bedford, Virginia. Graduated from Yale University School of Medicine in 2025, 1 year ago. Practices with Johnson Health Center, a 42-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Trained at
Yale University School of Medicine
Licensed in
VA
In the registry since
2026

Practice location Address checks out

582 Blue Ridge Ave
Bedford, VA 24523-2604
Phone: (540) 425-7910
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110011717 (VA)

Record details

NPI number1699626515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2026
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 5, 2026
Mailing address205 Wellington Rd, Summerville, SC 29485-5146

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Johnson Health Center — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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