Organization Active NPI

Vital Link Medical Concierge

  • Family Nurse Practitioner
  • Gainesville, VA
National Provider Identifier
1124952635
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VITAL LINK MEDICAL CONCIERGE
Practice address
8769 Ellis Mill Dr
Gainesville, VA 20155-5935
Phone
(703) 743-4200
NPI assigned
Jun 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Omar Momodu Kamara, FNPNPI 1477030336
Title
FNP-C
Phone
(703) 743-4200

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 Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8769 Ellis Mill Dr
Gainesville, VA 20155-5935

Mailing address

8769 Ellis Mill Dr
Gainesville, VA 20155-5935
Phone (703) 743-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260617001504 VA Part B Supplier - Clinic/Group Practice 8527530930 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, VA

National Provider Directory

National Provider Directory

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": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1124952635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8769 ELLIS MILL DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201555935",
            "telephone_number": "703-743-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8769 ELLIS MILL DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201555935",
            "telephone_number": "703-743-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LINK MEDICAL CONCIERGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "MOMODU",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "703-743-4200",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.