Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gina Diane Jackson, PA-C

Individual provider Physician Assistant · NPI 1265785786

Gina Diane Jackson, PA-C is a Physician Assistant in Alexandria, Virginia. Qualified in 2012, 14 years ago. Practices with Inova Physician Partners LLC, a 254-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2012
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

8109 Tis Well Dr Ste 511
Alexandria, VA 22306
Phone: (703) 799-9500
Fax: (703) 799-9502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 — (571) 231-4495

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110-004038 (VA)

Record details

NPI number1265785786
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 22, 2012
Last updated in NPPESJuly 8, 2021
Certification dateJune 14, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Inova Physician Partners Llc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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