Nmg Affiliate Practice I, LLC
NPI 1285236547ActiveOrganization· Internal Medicine· Manassas, VA
Internal Medicine in Manassas, Virginia, registered in NPPES in November 2020, part of Nmg Affiliate Practice I, LLC. The authorized official on file is Shala Davis, Enrollment Manager.
Overview
| NPI | 1285236547 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Nmg Affiliate Practice I, LLC |
| NPI issued | Nov 12, 2020 |
| Last updated in NPPES | Nov 12, 2020 |
| Certified by provider | Oct 26, 2020 |
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 |
|---|
Other Internal Medicine providers in Manassas
- 1770688004
- 1437980224
- 1811031925
- 1619792256
- 1609804285
- 1457741126
- 1063016160
- 1427650340
- 1700440674
- 1538490263
- 1134366685
- 1235313479