NMG Affiliate Practice I LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NMG AFFILIATE PRACTICE I LLC

Practice address

8575 Sudley Rd
Suite a
Manassas, VA 20110-3861

Phone

(703) 361-3161

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Geoffrey K Gardner

Title

VP Finance

Phone

(703) 328-6332

Specialties & licenses 1

Addresses

Other names 1

• Novant Health UVA Health System Virginia Internal Medicine & Primary C Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Nelson Lawson, DO

  • Family Medicine Physician
  • Winchester, VA
  • NPI 1295869543
  NPD

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1457741126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 SUDLEY RD",
            "address_2": "SUITE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103861",
            "telephone_number": "703-361-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMG AFFILIATE PRACTICE I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "703-328-6332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health UVA Health System Virginia Internal Medicine & Primary C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace A Nimoh
• Anulika Adaeze Njubigbo
• Afia Nkansah Boakye, PHARMACIST
• Alexis Boatemaah Nketiah, FNP
• Joyce Nkrumah
• NMG Affiliate Practice I, LLC
• NMG Affiliate Practice I, LLC
• NMG Affiliate Practice I, LLC
• NMG Affiliate Practice I, LLC
• NMG Affiliate Practice I, LLC

• Internal Medicine Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.