Organization Active NPI

Fairfax TMS PLLC

  • Adult Mental Health Clinic/Center
  • Lorton, VA
National Provider Identifier
1356026587
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FAIRFAX TMS PLLC
Practice address
9020F Lorton Station Blvd Ste 123
Lorton, VA 22079-4799
Phone
(571) 477-0380
NPI assigned
Jun 15, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Dr. Adnan Mahmood Durrani, MDNPI 1609256767
Title
Ceo
Phone
(202) 315-8210

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

9020F Lorton Station Blvd Ste 123
Lorton, VA 22079-4799

Mailing address

9500 Peniwill Dr
Lorton, VA 22079-3457
Phone (202) 315-8210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231213003591 DC Part B Supplier - Clinic/Group Practice 7315396538 Receives reassigned benefits from 1 practitioner
Practice locations: Lorton, VA

National Provider Directory

National Provider Directory

Locations

9020 Lorton Station Blvd
Ste 122
Lorton, VA 22079
Phone (202) 519-9575

9020 Lorton Station Blvd
Ste 123
Lorton, VA 22079
Phone (571) 477-0380

Practitioners & affiliated clinicians

Practitioners 1

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": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1356026587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 PENIWILL DR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220793457",
            "telephone_number": "202-315-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020F LORTON STATION BLVD STE 123",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794799",
            "telephone_number": "571-477-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX TMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "DURRANI",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_middle_name": "MAHMOOD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-315-8210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.