VIRGINIA LEE SECREST (PA-C) – Physician Assistant, NPI 1275387441

VIRGINIA LEE SECREST (PA-C) is a healthcare provider. based in Hattiesburg, Mississippi. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0010-14171 (NC). The NPI Number for VIRGINIA LEE SECREST (PA-C) is 1275387441

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
VIRGINIA LEE SECREST (PA-C)
NPI
1275387441
Phone
(828) 253-5314
Address
125 WATERFORD
Enumeration Date
15 April 2024
Last Update Date
15 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8282592357
Graduation Year
2023 (3 years ago)
PAC ID
3274076880
Group Practice PAC ID
0042246050
Professional Enrollment ID
I20240624000895
Address ID
NC287394206HE630XXWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,388 PHYSICIAN ASSISTANT in NC

Provider Addresses for VIRGINIA LEE SECREST (PA-C)

  • 125 WATERFORD

    HATTIESBURG, MS 394022932

    Phone: (828) 253-5314

    Type: Mailing

  • 1 DOCTORS PARK

    ASHEVILLE, NC 288014500

    Phone: (828) 253-5314

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $412.

Total Amount is formed as General ($412) + Research ($0) + Ownership ($0) = $412.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Endo USA, Inc. ($106).

Total Amount

$412

General + Research + Ownership

Payments

17

Total payment records

General Amount

$412

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-24

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240624000895IPhysician AssistantNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 39402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042246050View full group profile

Reviews

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Frequently asked questions

What federal number belongs to VIRGINIA LEE SECREST (PA-C)?
The federal identifier for VIRGINIA LEE SECREST (PA-C) is NPI 1275387441.
Does this profile mean VIRGINIA LEE SECREST (PA-C) is currently active?
Yes — VIRGINIA LEE SECREST (PA-C) appears active in the national provider directory.
What kind of provider is VIRGINIA LEE SECREST (PA-C)?
The page reflects Physician Assistant for VIRGINIA LEE SECREST (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for VIRGINIA LEE SECREST (PA-C)?
The page summarizes Hattiesburg, Mississippi for VIRGINIA LEE SECREST (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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