Organization Active NPI

Mobilemed Primary Care LLC

  • Family Medicine Physician
  • Chesterfield, VA
National Provider Identifier
1114862901
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOBILEMED PRIMARY CARE LLC
Practice address
9600 Spring Glen Dr
Chesterfield, VA 23832-8829
Phone
(804) 334-6737
NPI assigned
Apr 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Jaimie TahirNPI 1528420544
Title
Owner
Phone
(804) 334-6737

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: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9600 Spring Glen Dr
Chesterfield, VA 23832-8829

Mailing address

9600 Spring Glen Dr
Chesterfield, VA 23832-8829

Other identifiers 2

IdentifierTypeStateIssuer
30016824350002MedicaidVA
VVL477AOtherVAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260610000918 VA Part B Supplier - Clinic/Group Practice 8426529462 Receives reassigned benefits from 1 practitioner
Practice locations: Chesterfield, VA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1114862901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SPRING GLEN DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SPRING GLEN DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328829",
            "telephone_number": "804-334-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILEMED PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "TAHIR",
        "authorized_official_first_name": "JAIMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-334-6737"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016824350002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VVL477A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.