Organization Active NPI

M Medical Group - S PLLC

  • Internal Medicine Physician
  • Gretna, VA
National Provider Identifier
1699686048
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.