Clifford Souder, PHYSICIAN ASSISTANT
NPI 1679751200 · Physician Assistant · Leesburg, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clifford Souder, PHYSICIAN ASSISTANT is a Physician Assistant provider in Leesburg, VA (NPI 1679751200).
Provider details
- NPI number
- 1679751200
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- No
- License
- 0110003746 (VA)
Specialties & taxonomies
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
18 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)
- 238 Brookley Ave SwBolling Afb, DC 20032-7704Phone: (202) 404-6491
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Frequently asked questions
- What is Clifford Souder's NPI number?
- Clifford Souder's National Provider Identifier (NPI) is 1679751200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clifford Souder's specialty?
- Clifford Souder is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Clifford Souder located?
- Clifford Souder's practice location on file with NPPES is 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816.
- What is Clifford Souder's phone number?
- The practice phone number listed in the NPPES registry for Clifford Souder is (703) 840-1396.
- Does Clifford Souder accept Medicare?
- Clifford Souder is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clifford Souder's NPI active?
- Yes — Clifford Souder's NPI (1679751200) is active in the NPPES registry as of the last update on 2025-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.