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

Mary C. Vandergrift, PA-C

Individual provider Physician Assistant · NPI 1518041722

Mary C. Vandergrift, PA-C is a Physician Assistant in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5673 Airport Rd
Roanoke, VA 24012-1119
Phone: (540) 523-8080
Fax: (540) 562-8867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110002290 (VA)

Record details

NPI number1518041722
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

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