Organization Active NPI

Jeffrey Abrams PLLC

  • Internal Medicine Physician
  • Warrenton, VA
National Provider Identifier
1437524808
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101052373 Issued in VA
Legal business name
JEFFREY ABRAMS PLLC
Practice address
493 Blackwell Rd Ste 101a
Warrenton, VA 20186-2628
Phone
(540) 316-4325
Fax
(540) 316-4331
NPI assigned
Dec 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Jeffrey R Abrams, MDNPI 1598768400
Title
Physician/Owner
Phone
(540) 229-5549

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101052373 VA Primary

Addresses

Primary practice location

493 Blackwell Rd Ste 101a
Warrenton, VA 20186-2628

Mailing address

14689 Lee Hwy Unit 352
Gainesville, VA 20156-8017
Phone (540) 229-5549

Other identifiers 2

IdentifierTypeStateIssuer
1598768400OtherNPI
6043429MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160120002906 VA Part B Supplier - Clinic/Group Practice 2062715394 Receives reassigned benefits from 1 practitioner
Practice locations: Warrenton, VA

National Provider Directory

National Provider Directory

Locations

14689 Lee Hwy
Unit 352
Gainesville, VA 20156

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": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1437524808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14689 LEE HWY UNIT 352",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201568017",
            "telephone_number": "540-229-5549",
            "fax_number": "540-347-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD STE 101A",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862628",
            "telephone_number": "540-316-4325",
            "fax_number": "540-316-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY ABRAMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "540-229-5549",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101052373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598768400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6043429",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.