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

Miss. Jessica Diane Womack, MPA, PA-C

Individual provider Medical Physician Assistant · NPI 1700110582

Miss. Jessica Diane Womack, MPA, PA-C is a Physician Assistant in Midlothian, Virginia. Qualified in 2009, 17 years ago. Practices with Fort Worth Brain and Spine Institute, LLP, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2009
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

13700 St Francis Blvd Ste 103
Midlothian, VA 23114-3222
Phone: (804) 379-2414
Fax: (804) 379-2413
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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 0110003149 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110003149 (VA)

Record details

NPI number1700110582
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPA , PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2009
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Fort Worth Brain And Spine Institute, Llp — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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