NPIMap

Organization Active NPI

Nava Health Medical Group, LLC

Doing business as Nava Health and Vitality Center

  • Family Medicine Physician
  • Columbia, MD
National Provider Identifier
1225617897
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NAVA HEALTH MEDICAL GROUP, LLC
Doing business as
Nava Health and Vitality Center
Practice address
9755 Patuxent Woods Dr Ste 100
Columbia, MD 21046-2288
Phone
(800) 762-6282
Fax
(410) 630-5781
NPI assigned
Apr 2, 2021
Last updated
Dec 8, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVA HEALTH MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Tammy Muir
Title
Compliance Officer
Phone
(410) 910-5959

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Obstetrics & Gynecology Physician 207V00000X NU

Addresses

Primary practice location

9755 Patuxent Woods Dr Ste 100
Columbia, MD 21046-2288

Mailing address

9755 Patuxent Woods Dr Ste 100
Columbia, MD 21046-2288
Phone (800) 762-6282

Other names 2

  • Nava Health and Vitality Center Doing business as
  • Integrated Wellness MD, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240522001630 NJ Part B Supplier - Clinic/Group Practice 7517366149 Receives reassigned benefits from 6 practitioners
Practice locations: Madison, NJ; Montvale, NJ

National Provider Directory

National Provider Directory
Part of
Nava HLTH Med GRP LLC

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

294 S University Dr
#294
Plantation, FL 33324

8880 McGaw Rd
Ste B
Columbia, MD 21045
Phone (410) 910-6156

34 Farm Vw
Bldg F
Montvale, NJ 07645

119 Old Country Rd
Carle Place, NY 11514

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1225617897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 PATUXENT WOODS DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462288",
            "telephone_number": "800-762-6282",
            "fax_number": "410-630-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 PATUXENT WOODS DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462288",
            "telephone_number": "800-762-6282",
            "fax_number": "410-630-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVA HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVA HEALTH MEDICAL GROUP, LLC",
        "enumeration_date": "2021-04-02",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "410-910-5959"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nava Health and Vitality Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrated Wellness MD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.