Olivia Cynthia Ambursley-Gries
NPI 1376359190ActiveIndividual· Physician Assistant· Largo, MD
Physician Assistant in Largo, Maryland, trained at George Washington University School of Medicine (class of 2024). Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant.
Overview
| NPI | 1376359190 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 6, 2024 |
| Last updated in NPPES | Feb 19, 2025 |
| Certified by provider | Feb 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | C09742 | MD |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (DC); Practitioner - Physician Assistant (VA) |
|---|
Education and affiliations
| Medical school | George Washington University School of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Physician Assistant |
Medical groups
- Inova Health Care ServicesAlexandria, VA · 1,817 clinicians
- Dimensions Healthcare Associates, IncCheverly, MD · 199 clinicians
Hospital affiliation
- Inova Fairfax HospitalFalls Church, VA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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