Jonathan Lively, PA
NPI 1285763391 · Physician Assistant · Norfolk, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Lively, PA is a Physician Assistant provider in Norfolk, VA (NPI 1285763391).
Provider details
- NPI number
- 1285763391
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0110002350 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 111 Michigan Ave NwWashington, DC 20010-2978Phone: (202) 884-5000
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2021-09-21
- Certified
- 2021-09-21
Frequently asked questions
- What is Jonathan Lively's NPI number?
- Jonathan Lively's National Provider Identifier (NPI) is 1285763391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Lively's specialty?
- Jonathan Lively is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jonathan Lively located?
- Jonathan Lively's practice location on file with NPPES is 600 Gresham Dr Ste 8630b, Norfolk, VA 23507-1904.
- What is Jonathan Lively's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Lively is (757) 388-6115.
- Does Jonathan Lively accept Medicare?
- Jonathan Lively is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Lively's NPI active?
- Yes — Jonathan Lively's NPI (1285763391) is active in the NPPES registry as of the last update on 2021-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.