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

Nicholas Vincent Digiovannantonio

Individual provider Physician Assistant · NPI 1043952062

Nicholas Vincent Digiovannantonio is a Physician Assistant in Lynchburg, Virginia. Qualified in 2022, 4 years ago. Practices with Wake Emergency Physicians PA, a 273-clinician group and accepts Medicare assignment. Licensed in South Carolina and Virginia.

Years since qualifying
4
Licensed in
SC, VA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1501 Lakeside Dr
Lynchburg, VA 24501-3113
Phone: (434) 544-8876
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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 4848 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 0110008823 (VA)

Record details

NPI number1043952062
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2022
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wake Emergency Physicians Pa — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lynchburg