Organization Active NPI

Atlantic Integrative Medicine LLC

  • Family Medicine Physician
  • Sterling, VA
National Provider Identifier
1104407204
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ATLANTIC INTEGRATIVE MEDICINE LLC
Practice address
2 Pidgeon Hill Dr Ste 210
Sterling, VA 20165-6129
Phone
(703) 376-1284
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Jonathan D ClaarNPI 1043388309
Title
Authorized Official
Phone
(540) 442-8555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2 Pidgeon Hill Dr Ste 210
Sterling, VA 20165-6129

Mailing address

2 Pidgeon Hill Dr Ste 210
Sterling, VA 20165-6129
Phone (703) 376-1284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212003786 VA Part B Supplier - Clinic/Group Practice 4981053204 Receives reassigned benefits from 3 practitioners
Practice locations: Sterling, VA

National Provider Directory

National Provider Directory

Locations

300 Medical Pkwy
Ste 304
Chesapeake, VA 23320
Phone (757) 410-0672

2 Pidgeon Hill Dr
Ste 210
Sterling, VA 20165

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1104407204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PIDGEON HILL DR STE 210",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656129",
            "telephone_number": "703-376-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PIDGEON HILL DR STE 210",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656129",
            "telephone_number": "703-376-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "CLAAR",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "540-442-8555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.