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

Individual provider Physician Assistant · NPI 1306428206

Mary-Hagen Virginia Grow is a Physician Assistant in Richmond, Virginia. Qualified in 2023, 3 years ago. Practices with Burn and Reconstructive Centers of Virginia PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2021
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Practice location Address checks out

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone: (706) 863-9595
Fax: (804) 320-1541
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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 0110009302 (VA)

Record details

NPI number1306428206
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESApril 1, 2024
Certification dateJuly 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Burn And Reconstructive Centers Of Virginia Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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