Organization Active NPI

Uva Community Health Medical Group, LLC

Doing business as Novant Health Prince William Cardiology Warrenton

  • Cardiovascular Disease Physician
  • Falls Church, VA
National Provider Identifier
1780065656
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Doing business as
Novant Health Prince William Cardiology Warrenton
Novant Health UVA Health System Prince William Cardiology
Practice address
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone
(540) 347-9898
Fax
(540) 347-4571
NPI assigned
Jun 16, 2015
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Charles Donald Coder
Title
Cfo
Phone
(571) 284-1163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Mailing address

PO Box 748613
Atlanta, GA 30374-8613
Phone (540) 347-9898

Other names 2

  • Novant Health Prince William Cardiology Warrenton Doing business as
  • Novant Health UVA Health System Prince William Cardiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150723007128 DC Part B Supplier - Clinic/Group Practice 4688587967 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Centreville, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1780065656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748613",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748613",
            "telephone_number": "540-347-9898",
            "fax_number": "540-347-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "540-347-9898",
            "fax_number": "540-347-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UVA COMMUNITY HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "CODER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "571-284-1163"
    },
    "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 Prince William Cardiology Warrenton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Prince William Cardiology Warrenton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health UVA Health System Prince William Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.