Nmg Affiliate Practice I, LLC
NPI 1336819408ActiveOrganization· Surgery· Woodbridge, VA
Surgery in Woodbridge, Virginia, registered in NPPES in September 2021. The authorized official on file is Shala Davis, Rcs Manager.
Overview
| NPI | 1336819408 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2021 |
| Last updated in NPPES | Feb 17, 2023 |
| Certified by provider | Feb 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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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