NMG AFFILIATE PRACTICE I, LLC (NPI# 1023483567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023483567 |
| Entity Type | Organization |
| Organization Name | NMG AFFILIATE PRACTICE I, LLC |
| Other Organization Name | NOVANT HEALTH UVA HEALTH SYSTEM PALLIATIVE CARE |
| Practice Address |
8700 Sudley Rd Manassas VA 20110-4418 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7033965292 |
| Practice Fax Number | 7033965297 |
| Mailing Telephone | 7033965292 |
| Mailing Fax Number | 7033965297 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7033965292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health UVA Health System Palliative Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639530124 | Nmg Affiliate Practice I, LLC | Internal Medicine | 4197c Winchester Rd, Marshall, VA 20115-3252 | 2016-03-11 |
| 1154701878 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8567 Sudley Rd Ste B, Manassas, VA 20110-3865 | 2015-06-08 |
| 1194110445 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15195 Heathcote Blvd Suite 338, Haymarket, VA 20169-6242 | 2015-04-03 |
| 1831466440 | Nmg Affiliate Practice I, LLC | Surgery | 14010 Smoketown Rd Ste 105, Woodbridge, VA 22192-4723 | 2011-11-28 |
| 1770143570 | Nmg Affiliate Practice I, LLC | Surgery | 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169-6244 | 2019-06-14 |
| 1487218871 | Nmg Affiliate Practice I, LLC | Family Medicine | 190 Moravian Way Dr, Winston Salem, NC 27106-3216 | 2019-05-01 |
| 1700440674 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-26 |
| 1780248823 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-24 |
| 1861056939 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-04-24 |
| 1952875809 | Nmg Affiliate Practice I, LLC | Obstetrics & Gynecology | 428 Hospital Dr, Warrenton, VA 20186-3026 | 2019-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | NMG Affiliate Practice I, LLC | 2085 Frontis Plaza Blvd , Winston Salem, NC 27103-5614 |
| Virginia Business Entity | NMG AFFILIATE PRACTICE I, LLC | 200 HAWTHORNE LN , CHARLOTTE, NC 28204 |
| Street Address |
8700 SUDLEY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588725 | Christopher R Heaton | Family Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2005-06-16 |
| 1740806629 | Lyndsey Atherton Lee | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-06-17 |
| 1033731591 | Marti Abarquez | Radiologic Technologist | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-05-07 |
| 1235764317 | Chelsea Mara Thompson | Registered Nurse | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-03-09 |
| 1346874997 | Lauren Nichole-evans Jeske | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-02-22 |
| 1689218620 | Martha Gordon | Registered Nurse | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-11-02 |
| 1528609203 | Sheridan Childrens Healthcare Services of Virginia Inc | Audiologist | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-10-03 |
| 1700440674 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-26 |
| 1780248823 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-24 |
| 1588122410 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184845737 | Gregory Alan Alouf | Family Medicine | 1618 Apperson Drive, Salem, VA 24153 | 2007-05-01 |
| 1083838593 | Richard James Redding | Family Medicine | 1609 Fort Hunt Ct, Alexandria, VA 22307-1915 | 2007-04-13 |
| 1447367057 | Christopher Wade Pile | Family Medicine | 4092 Electric Rd, Roanoke, VA 24018-0613 | 2006-08-23 |
| 1275541013 | Capital Palliative Care Consultants, LLC | Family Medicine | 3180 Fairview Park Drive, Suite 500, Falls Church, VA 22042-4516 | 2006-08-04 |
| 1649815671 | John W Dunkle, Md Plc | Family Medicine | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2019-11-13 |
| 1275727059 | Ray Jay Espana Garcia | Family Medicine | 2900 Telestar Ct, Falls Church, VA 22042-1206 | 2007-09-05 |
| 1790988756 | Anne Balagtas Silao-solomon | Family Medicine | 2900 Telestar Ct, Falls Church, VA 22042-1206 | 2007-06-07 |
| 1497963227 | Rafael Canadas | Family Medicine | 3800 Fairfax Dr, Suite #3, Arlington, VA 22203-1711 | 2007-05-17 |
| 1992925150 | Stanley D. Cypress | Family Medicine | 1522 Prison Road, Dillwyn, VA 23936 | 2007-04-27 |
| 1437379294 | Family Practice Specialists of Richmond, PC | Family Medicine | 3742 Winterfield Rd, Midlothian, VA 23113-9238 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.