Active NPI
Eldesia Labren Granger, MD
- Internal Medicine Physician
- MC Lean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101256984
- Practice address
- 7918 Jones Branch Dr FL 4
MC Lean, VA 22102-3319 - Phone
- (703) 424-9024
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | D0075137 | MD | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 0101256984 | VA | |
| Internal Medicine Physician | 207R00000X | 0101256984 | VA | Primary |
| Pediatrics Physician | 208000000X | 0101256984 | VA |
Addresses
Primary practice location
7918 Jones Branch Dr FL 4
MC Lean, VA 22102-3319
Mailing address
2800 Eisenhower Ave Ste 220
Alexandria, VA 22314-4587
Phone (703) 424-9024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tufts University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Vienna, VA 22181
Phone (703) 296-4753
2800 Eisenhower Ave
Suite 220
Alexandria, VA 22314-4587
311 W Main St
New Bloomfield, PA 17068-9642
344 Maple Ave W
PMB 163
Vienna, VA 22180-5612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101256984 | VA | MD | Pediatrics Physician |
| D0075137 | MD | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privyhealth LLC | Multi-Specialty | Current | Accepting new patients |
Locations
2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423
7918 Jones Branch Dr
Fl 4
Tysons, VA 22102
Phone (703) 424-9024
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1043471568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 EISENHOWER AVE STE 220",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144587",
"telephone_number": "703-424-9024",
"fax_number": "703-214-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7918 JONES BRANCH DR FL 4",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023319",
"telephone_number": "703-424-9024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGER",
"first_name": "ELDESIA",
"middle_name": "LABREN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MD",
"license": "D0075137",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "VA",
"license": "0101256984",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101256984",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101256984",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.