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

Mr. Clifford C Souder, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1679751200

Mr. Clifford C Souder, PHYSICIANASSISTANT is a Physician Assistant in Leesburg, Virginia. Graduated from University of Nebraska College of Medicine in 2007, 19 years ago. Practices with Patient First Richmond Medical Group PLLC, a 320-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
19
Trained at
University of Nebraska College of Medicine
Licensed in
VA
In the registry since
2008
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Practice location Address checks out

601 Potomac Station Dr NE
Leesburg, VA 20176-1816
Phone: (703) 840-1396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 238 Brookley Ave Sw, Bolling Afb, DC 20032-7704 — (202) 404-6491

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110003746 (VA)

Record details

NPI number1679751200
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 6, 2008
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Patient First Richmond Medical Group Pllc — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Leesburg