Organization Active NPI

Teammed 360 LLC

  • Multi-Specialty Clinic/Center
  • Falls Church, VA
National Provider Identifier
1245911775
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TEAMMED 360 LLC
Practice address
3800 Powell LN Ste Cu-1
Falls Church, VA 22041-3687
Phone
(703) 592-6861
Fax
(866) 221-2191
NPI assigned
Jul 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Sayed MahmoudNPI 1528462009
Title
Owner
Phone
(703) 592-6861

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3800 Powell LN Ste Cu-1
Falls Church, VA 22041-3687

Mailing address

PO Box 100
Lorton, VA 22199-0100
Phone (703) 592-6861

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": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1245911775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "221990100",
            "telephone_number": "703-592-6861",
            "fax_number": "866-221-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 POWELL LN STE CU-1",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413687",
            "telephone_number": "703-592-6861",
            "fax_number": "866-221-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMMED 360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MAHMOUD",
        "authorized_official_first_name": "SAYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-592-6861"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.