Organization Active NPI

Acsh Primary Care of Virigina, LLC

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1902212343
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ACSH PRIMARY CARE OF VIRIGINA, LLC
Practice address
12713 Shoppes LN
Fairfax, VA 22033-3834
Phone
(703) 222-3555
NPI assigned
Jul 7, 2014
Last updated
Aug 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Norman Winland
Title
Coo
Phone
(404) 465-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12713 Shoppes LN
Fairfax, VA 22033-3834

Mailing address

PO Box 101099
Atlanta, GA 30392-1099

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1902212343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101099",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303921099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12713 SHOPPES LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333834",
            "telephone_number": "703-222-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACSH PRIMARY CARE OF VIRIGINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "WINLAND",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-465-1000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.