NPIMap

Organization Active NPI

Patronus Physicians Group PC

  • General Practice Physician
  • Vienna, VA
National Provider Identifier
1851830178
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PATRONUS PHYSICIANS GROUP PC
Practice address
8000 Towers Crescent Dr
Suite 1350
Vienna, VA 22182-6207
Phone
(866) 450-1918
NPI assigned
Feb 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Carey Grainger
Title
Ceo
Phone
(404) 822-4823

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084V0102X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8000 Towers Crescent Dr
Suite 1350
Vienna, VA 22182-6207

Mailing address

8000 Towers Crescent Dr
Suite 1350
Vienna, VA 22182-6207
Phone (866) 450-1918

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1851830178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 TOWERS CRESCENT DR",
            "address_2": "SUITE 1350",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221826207",
            "telephone_number": "866-450-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 TOWERS CRESCENT DR",
            "address_2": "SUITE 1350",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221826207",
            "telephone_number": "866-450-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRONUS PHYSICIANS GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "GRAINGER",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-822-4823"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.