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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jay Miles Forman, PA-C

Surgical Physician Assistant in Gloucester, VA · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073826517

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Registry record

Entity type Individual (Type 1)
Name Mr. Jay Miles Forman
Credential PA-C
Sex Male
Practice address 7544 Hospital Dr, Suite 202a, Gloucester, VA, 23061
Phone (804) 693-0529
Fax (804) 693-1670
Enumeration date Jul 26, 2010
Last updated in NPPES Nov 26, 2013

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0110003739 (VA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1073826517 active?
Yes, as of the latest NPPES snapshot, NPI 1073826517 is active (record last updated 2013-11-26).
How do I verify Jay Forman's NPI record?
Cross-check NPI 1073826517 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-26.