Nmg Affiliate Practice I, LLC
NPI 1427650340ActiveOrganization· 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 Mnaager.
Overview
| NPI | 1427650340 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Nmg Affiliate Practice I, LLC |
| NPI issued | Nov 16, 2020 |
| Last updated in NPPES | Nov 16, 2020 |
| Certified by provider | Nov 12, 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 |
|---|
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