NMG Affiliate Practice I LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NMG AFFILIATE PRACTICE I LLC

Practice address

812 West Stuart Drive
Galax, VA 24333-2605

Phone

(276) 238-3318

Fax

(276) 236-4204

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Geoffrey K Gardner

Title

VP Finance

Phone

(276) 238-3318

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Heart and Vascular Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 2

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

• Abdul Ahad Faisal, MD

  • Psychiatry Physician
  • Manassas, VA
  • NPI 1467448589
  NPD
• Nanette Pilon Schell, FP/NP

  • Family Nurse Practitioner
  • Dumfries, VA
  • NPI 1417355124
  NPD

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1639474240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602362",
            "telephone_number": "704-384-7840",
            "fax_number": "704-384-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 WEST STUART DRIVE",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332605",
            "telephone_number": "276-238-3318",
            "fax_number": "276-236-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMG AFFILIATE PRACTICE I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2013-06-21",
        "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": "276-238-3318"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Heart and Vascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandy Nester, LPN
• Daniel Neubrander, DPT
• New River Nutrition Services, LLC
• Tonia Newman, RN
• Paul Douglas Nielson, M.D.
• Garrick Norman, LPTA
• Novant Medical Group, Inc
• Susan Frances O'Connor, DDS
• Oldtown Medical Care, LLC
• Steven P Olson, MD

• Cardiovascular Disease Physician in Galax, VA
• Providers in Galax, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.