NMG AFFILIATE PRACTICE I, LLC (NPI# 1609386556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609386556 |
| Entity Type | Organization |
| Organization Name | NMG AFFILIATE PRACTICE I, LLC |
| Other Organization Name | NOVANT HEALTH UVA HEALTH SYSTEM BRISTOW RUN FAMILY MEDICINE |
| Practice Address |
8180 Stonewall Shops Sq Gainesville VA 20155 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 8442668268 |
| Mailing Telephone | 7043847840 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | SHALA DAVIS (ENROLLMENT MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NHUVA Bristow Run Family Medicine | Doing Business As Name - Organization |
| Novant Health UVA Health System Bristow Run Family Medicine | 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 |
8180 STONEWALL SHOPS SQ |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752604 | Steven J Tang | Family Medicine | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2005-07-01 |
| 1386113835 | Nmg Affiliate Practice I, LLC | Pediatrics | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2018-11-14 |
| 1639654452 | Christy Elizabeth Maxwell | Nurse Practitioner | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2018-09-27 |
| 1053864918 | Jennifer M Staley | Nurse Practitioner | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2016-07-27 |
| 1346201126 | Anastasia L Williams | Pediatrics | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2006-03-31 |
| 1336130590 | Victoria C Hammonds | Family Medicine | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756313 | Divine Destiny Virtual Health | Family Medicine | 2631a Nw 41st St, Gainesville, FL 32606-6628 | 2020-07-06 |
| 1407479702 | Heather Lynn Towne | Family Medicine | 4730 Nw 32nd Ave, Gainesville, FL 32606-6023 | 2020-05-20 |
| 1346883196 | Carehere LLC | Family Medicine | 4340 Newberry Rd Ste 203, Gainesville, FL 32607-2557 | 2019-10-24 |
| 1609348978 | Anderle and Lewis Pllc | Family Medicine | 1615 Hospital Blvd Ste A, Gainesville, TX 76240-2032 | 2018-12-26 |
| 1598111064 | Janelle C Wilkinson | Family Medicine | 1600 Sw Archer Road- Suite N1-07, University of Florida Community Health & Family Medicin, Gainesville, FL 32610-3001 | 2016-05-13 |
| 1033581996 | Florida Medical & Allergy Centers LLC | Family Medicine | 926 Nw 13th St, Gainesville, FL 32601-4140 | 2015-10-30 |
| 1255703419 | Patient First Richmond Medical Group Pllc | Family Medicine | 14800 Lee Highway, Gainesville, VA 20155-1842 | 2015-10-28 |
| 1962884411 | Margaret A Erwood | Family Medicine | 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501-3806 | 2015-06-22 |
| 1902286867 | Mehak Gandhi | Family Medicine | 6400 W Newberry Rd Ste 101, Gainesville, FL 32605-4383 | 2015-06-05 |
| 1497135263 | Peter Farag | Family Medicine | 6400 W Newberry Rd Ste 101b, Gainesville, FL 32605-6605 | 2015-06-05 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
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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.