NPIMap

Organization Active NPI

George N Polis, MD, PC

  • Internal Medicine Physician
  • Vienna, VA
National Provider Identifier
1952624876
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GEORGE N POLIS, MD, PC
Practice address
1426 Rosewood Hill Dr
Vienna, VA 22182-1484
Phone
(703) 757-0242
Fax
(703) 348-4127
NPI assigned
Mar 5, 2010
Last updated
Nov 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Nicholas George Polis, MDNPI 1447380779
Title
President
Phone
(800) 283-9078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1426 Rosewood Hill Dr
Vienna, VA 22182-1484

Mailing address

PO Box 8335
Reston, VA 20195-2235
Phone (301) 801-9750

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1952624876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8335",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201952235",
            "telephone_number": "301-801-9750",
            "fax_number": "703-348-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 ROSEWOOD HILL DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221821484",
            "telephone_number": "703-757-0242",
            "fax_number": "703-348-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE N POLIS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "POLIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-283-9078",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Nov 17, 2020; 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.