Organization Active NPI

Nava Health Medical Group, LLC

Doing business as Nava Health and Vitality Center

  • Family Medicine Physician
  • Ashburn, VA
National Provider Identifier
1356077697
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
43670 Greeway Corporate Drive
Suite 122
Ashburn, VA 20147-2104
Phone
(800) 762-6282
NPI assigned
Jul 28, 2022
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

43670 Greeway Corporate Drive
Suite 122
Ashburn, VA 20147-2104

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

National Provider Directory

National Provider Directory
Part of
Nava Health Medical Group L

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1356077697",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43670 GREEWAY CORPORATE DRIVE",
            "address_2": "SUITE 122",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201472104",
            "telephone_number": "800-762-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVA HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVA HEALTH MEDICAL GROUP, LLC",
        "enumeration_date": "2022-07-28",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 Ashburn, VA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.