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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Alice Innis

PA-C

Physician Assistant

NPI: 1093574626Prince George, Virginia, 23875(804) 732-0095Female

About Alice Innis

Alice Innis, PA-C, is a female healthcare professional specializing in Physician Assistant, registered under National Provider Identifier (NPI) number 1093574626. Alice Innis received her medical education at OTHER, graduating in 2025.

Their primary practice is located at 4710 PUDDLEDOCK RD STE 100, Prince George, Virginia 23875. Patients can reach the office at (804) 732-0095. In addition to the primary location, Alice Innis maintains 2 additional practice locations.

Alice Innis is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications. Alice Innis has been NPI-registered since 2024.

Key Metrics

Practice Locations

3

Doctor Details

Identity & Credentials

NPI Number
1093574626
Entity Type
Individual
First Name
Alice
Last Name
Innis
Credential
PA-C
Gender
Female
Medical School
OTHER
Graduation Year
2025
Sole Proprietor
No
Status
active

Primary Practice Location

Address
4710 PUDDLEDOCK RD STE 100
City
Prince George
State
Virginia
ZIP
23875-1269
Country
United States
Phone
(804) 732-0095

Specialty & Taxonomy

Primary Specialty
Physician Assistant
Classification
Physician Assistant
Taxonomy Code
363A00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
4710 PUDDLEDOCK RD STE 100
City
PRINCE GEORGE
State
VA
ZIP
238751269

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Alice Innis's NPI number?
Alice Innis's National Provider Identifier (NPI) is 1093574626. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Alice Innis specialize in?
Alice Innis specializes in Physician Assistant. They received their medical education at OTHER (class of 2025).
Where is Alice Innis located?
Alice Innis practices at 4710 PUDDLEDOCK RD STE 100, Prince George, Virginia 23875. You can reach them by phone at (804) 732-0095. They also have 2 additional practice locations.
Does Alice Innis accept Medicare?
Yes, Alice Innis is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Alice Innis offer telehealth or virtual visits?
Alice Innis does not currently offer telehealth services. In-person visits are required at their practice location.
Can Alice Innis prescribe medications?
Yes, Alice Innis is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Alice Innis is 1093574626.