Nmg Affiliate Practice I, LLC
NPI 1063016160ActiveOrganization· Internal Medicine· Manassas, VA
Internal Medicine in Manassas, Virginia, registered in NPPES in November 2020. The authorized official on file is Shala Davis, Rcs Manager.
Overview
| NPI | 1063016160 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2020 |
| Last updated in NPPES | Sep 14, 2021 |
| Certified by provider | Sep 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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