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

Kassidy Irby, PA

Individual provider Physician Assistant · NPI 1396575478

Kassidy Irby, PA is a Physician Assistant in South Boston, Virginia. Qualified in 2024, 2 years ago. Practices with Pulmonary Associates of Southside Virginia, Inc, a 16-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone: (434) 575-5864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1396575478
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pulmonary Associates Of Southside Virginia, Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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