Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sonia J Mabout, PA-C

Individual provider Medical Physician Assistant · NPI 1770610289

Sonia J Mabout, PA-C is a Physician Assistant in Fairfax, Virginia. Qualified in 2004, 22 years ago. Practices with Uva Community Health Medical Group LLC, a 342-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
22
Licensed in
NC, VA
In the registry since
2007
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

2812 Old Lee Hwy # 100B-D
Fairfax, VA 22031-4315
Phone: (571) 279-6849
Fax: (571) 281-8697
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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 0110005904 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-01955 (NC)

Record details

NPI number1770610289
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJune 13, 2020
Certification dateJune 13, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Uva Community Health Medical Group Llc — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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