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

Ellen T. Godfrey

Individual provider Medical Physician Assistant · NPI 1437564911

Ellen T. Godfrey is a Physician Assistant in Leesburg, Virginia. Qualified in 2014, 12 years ago. Practices with Loudoun Medical Group, PC, a 274-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2014
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Practice location Address checks out

44084 Riverside Pkwy Ste 300
Leesburg, VA 20176-5102
Phone: (703) 724-7530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110-004631 (VA)

Record details

NPI number1437564911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2014
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 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 specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Loudoun Medical Group, Pc — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Leesburg