Nova Addiction Center

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

NOVA ADDICTION CENTER

Practice address

21135 Whitfield PL Ste 101
Sterling, VA 20165-7279

Phone

(703) 568-8906

NPI assigned

Jan 30, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kerry Mason

Title

Administrator

Phone

(540) 335-8435

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1104380468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21135 WHITFIELD PL STE 101",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657279",
            "telephone_number": "703-568-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21135 WHITFIELD PL STE 101",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657279",
            "telephone_number": "703-568-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ADDICTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-335-8435"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538129127",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Virginia Imaging, LLC
• Northern Virginia Vision Center, Inc. (The Eye Center)
• Northland Hearing Center Inc
• Northland Hearing Center, Inc. (Ascent Audiology & Hearing Center)
• Bruce S Nouri, DDS
• Nova Arthritis and Rheumatology Specialists LLC
• Nova IV Therapy, LLC (NOVA IV Therapy)
• Nova Perio Specialists
• Nova Psychiatric Services PC
• Nova Spine Center LLC (Nova Spine Center)

• Pain Medicine Physician in Sterling, VA
• Providers in Sterling, VA by specialty
• Pain Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.