Organization Active NPI

Principal Medical Group PC

  • Internal Medicine Physician
  • McLean, VA
National Provider Identifier
1134425267
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRINCIPAL MEDICAL GROUP PC
Practice address
1355 Beverly Road
Suite 220
McLean, VA 22101-3654
Phone
(703) 663-8824
Fax
(703) 992-8354
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. David J Jones, MD
Title
Owner
Phone
(703) 663-8824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X VA Primary

Addresses

Primary practice location

1355 Beverly Road
Suite 220
McLean, VA 22101-3654

Mailing address

1355 Beverly Road
Suite 220
McLean, VA 22101-3654
Phone (703) 663-8824

National Provider Directory

National Provider Directory

Locations

1355 Beverly Rd
Ste 220
McLean, VA 22101
Phone (703) 442-8040

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": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1134425267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 BEVERLY ROAD",
            "address_2": "SUITE 220",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013654",
            "telephone_number": "703-663-8824",
            "fax_number": "703-992-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 BEVERLY ROAD",
            "address_2": "SUITE 220",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013654",
            "telephone_number": "703-663-8824",
            "fax_number": "703-992-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPAL MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-663-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.