TJ Medical Spa LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TJ MEDICAL SPA LLC

Doing business as

Evergreen Medical Group

Practice address

14117 Mariah CT
Chantilly, VA 20151-2113

Phone

(571) 335-3636

NPI assigned

Jun 19, 2026

Organization subpart

No

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

Authorized official

Name

Jin M Choi

Title

Ceo

Phone

(571) 335-3636

Specialties & licenses 1

Addresses

Other names 1

• EVERGREEN MEDICAL GROUP Doing business as

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1730015629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14117 MARIAH CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512113",
            "telephone_number": "571-335-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14117 MARIAH CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512113",
            "telephone_number": "571-335-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJ MEDICAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "M",
        "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": [
        {
            "organization_name": "EVERGREEN MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Dana Thompson
• Deandra Thoms
• Tyler James Thornburg, PT, DPT
• Greeshma Thotakura
• Lalitha Prasad Thungathurthi
• Bryant Lam To, D.D.S.
• Katherine Tolbert, RN, DOULA
• Theresa P Ton, DDS
• Meghan Toomey
• Stephanie Lynn Torchia, PT,DPT

• Internal Medicine Physician in Chantilly, VA
• Providers in Chantilly, 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 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.

Verify at the official NPI Registry.