IndividualActive
Derrick Mathis, ALFA
NPI 1780822841 · Nursing Home Administrator · Manassas, VA
Derrick Mathis, ALFA is a Nursing Home Administrator provider in Manassas, VA (NPI 1780822841).
Provider details
- NPI number
- 1780822841
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Credential
- ALFA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1706000192 (VA)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
9827 Sudley Manor Dr
Manassas, VA 20109-6232
Phone: (703) 530-7751
Street-level locationGet directions
Mailing address
9827 Sudley Manor Dr
Manassas, VA 20109-6232
Registry dates
- Enumerated
- 2009-01-28
- Last updated
- 2009-01-28
Frequently asked questions
- What is Derrick Mathis's NPI number?
- Derrick Mathis's National Provider Identifier (NPI) is 1780822841, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Mathis's specialty?
- Derrick Mathis is listed in the NPPES registry with a primary specialty of Nursing Home Administrator (Nursing Service Related Providers).
- Where is Derrick Mathis located?
- Derrick Mathis's practice location on file with NPPES is 9827 Sudley Manor Dr, Manassas, VA 20109-6232.
- What is Derrick Mathis's phone number?
- The practice phone number listed in the NPPES registry for Derrick Mathis is (703) 530-7751.
- Is Derrick Mathis's NPI active?
- Yes — Derrick Mathis's NPI (1780822841) is active in the NPPES registry as of the last update on 2009-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.