Active NPI
Evergreen Health Care Management LLC
- Internal Medicine Physician
- Fairfax, VA
National Provider Identifier
1487572392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.