NMG Affiliate Practice I, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NMG AFFILIATE PRACTICE I, LLC

Doing business as

Novant Health UVA Health System Express Care

Practice address

4197C Winchester Rd
Marshall, VA 20115-3252

Phone

(571) 284-3460

NPI assigned

Mar 11, 2016

Last updated

Mar 11, 2016By the provider in NPPES

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 of Finance

Phone

(704) 384-7606

Specialties & licenses 1

Addresses

Other names 1

• Novant Health UVA Health System Express Care Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1639530124",
    "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": "571-284-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4197C WINCHESTER RD",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201153252",
            "telephone_number": "571-284-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMG AFFILIATE PRACTICE I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "704-384-7606"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health UVA Health System Express Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marshall Midwifery and Birth Center LLC
• Marshall Physical Therapy
• Maysons Pharmacy Inc (Maysons Pharmacy)
• Danah Elizabeth McGrath, LCPC
• Celia Moore, M.S., ATC
• Northern Virginia Otolaryngology Associates PC
• Kevin L Olson, M.D.
• Thuy Lan Thi Olson, MD
• Priscilla Rittenhouse
• Lora Robinson, MT-BC

• Internal Medicine Physician in Marshall, VA
• Providers in Marshall, 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 Mar 11, 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.