Organization Active NPI

Evergreen Health Care Management LLC

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1487572392
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EVERGREEN HEALTH CARE MANAGEMENT LLC
Practice address
8704 Route 29 Ste 203a
Fairfax, VA 22031-2104
Phone
(703) 534-5049
Fax
(888) 588-3957
NPI assigned
Jul 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Jin Choi
Title
Ceo
Phone
(571) 335-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8704 Route 29 Ste 203a
Fairfax, VA 22031-2104

Mailing address

8704 Route 29 Ste 203a
Fairfax, VA 22031-2104
Phone (703) 534-5049

National Provider Directory

National Provider Directory

Locations

8704 Route 29
Ste 203A
Fairfax, VA 22031

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1487572392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 ROUTE 29 STE 203A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312104",
            "telephone_number": "703-534-5049",
            "fax_number": "888-588-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8704 ROUTE 29 STE 203A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312104",
            "telephone_number": "703-534-5049",
            "fax_number": "888-588-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HEALTH CARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-335-3636"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.