Active NPI
M Medical Group - S PLLC
- Internal Medicine Physician
- Gretna, VA
National Provider Identifier
1699686048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- M MEDICAL GROUP - S PLLC
- Practice address
- 595 Vaden Dr
Gretna, VA 24557-4157 - Phone
- (434) 656-1206
- NPI assigned
- Sep 15, 2026
- Last updated
- Sep 15, 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
- Ashley Desantis
- Title
- Director of RCM
- Phone
- (248) 343-0358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
595 Vaden Dr
Gretna, VA 24557-4157
Mailing address
6 E Eager St
Baltimore, MD 21202-2506
Phone (248) 343-0358
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1699686048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 E EAGER ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022506",
"telephone_number": "248-343-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 VADEN DR",
"city": "GRETNA",
"state": "VA",
"postal_code": "245574157",
"telephone_number": "434-656-1206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M MEDICAL GROUP - S PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A",
"authorized_official_last_name": "DESANTIS",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "DIRECTOR OF RCM",
"authorized_official_telephone_number": "248-343-0358"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.