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

Mandria L Fuqua, PA-C

Individual provider Medical Physician Assistant · NPI 1760483697

Mandria L Fuqua, PA-C is a Physician Assistant in Lynchburg, Virginia. Graduated from Eastern Virginia Medical School in 2004, 22 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
22
Trained at
Eastern Virginia Medical School
Licensed in
NC, VA
In the registry since
2005
Specialties on file
2
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

2137 Lakeside Dr Ste 100
Lynchburg, VA 24501-6806
Phone: (434) 385-4184
Fax: (434) 385-8616
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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 0110002029 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 104177 (NC)

Record details

NPI number1760483697
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESAugust 14, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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