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

Justin R Mize, PA

Individual provider Medical Physician Assistant · NPI 1104152479

Justin R Mize, PA is a Physician Assistant in Virginia Beach, Virginia. Qualified in 2009, 17 years ago. Practices with Urology of Virginia, PLLC, a 75-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4092 Foxwood Dr Ste 101
Virginia Beach, VA 23462-5225
Phone: (757) 467-4200
Fax: (757) 686-0541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 Clearfield Ave, Virginia Beach, VA 23462-1815 — (757) 457-5100

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110003168 (VA)

Record details

NPI number1104152479
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 21, 2009
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Urology Of Virginia, Pllc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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