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

Lydia Willis White, PA-C

Individual provider Physician Assistant · NPI 1396455937

Lydia Willis White, PA-C is a Physician Assistant in Suffolk, Virginia. Graduated from Eastern Virginia Medical School in 2023, 3 years ago. Practices with Bon Secours Medical Group Hampton Roads Specialty Care LLC, a 194-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Trained at
Eastern Virginia Medical School
Licensed in
VA
In the registry since
2022
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

5838 Harbour View Blvd Ste 100
Suffolk, VA 23435-2663
Phone: (757) 673-5680
Fax: (757) 483-3075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009295 (VA)

Record details

NPI number1396455937
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 5, 2022
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2023 (3 years in practice)
Group practice Bon Secours Medical Group Hampton Roads Specialty Care Llc — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Suffolk