NMG AFFILIATE PRACTICE I, LLC (NPI# 1659770774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659770774 |
| Entity Type | Organization |
| Organization Name | NMG AFFILIATE PRACTICE I, LLC |
| Other Organization Name | NOVANT HEALTH UVA HEALTH SYSTEM NORTHERN VIRGINIA PSYCHIATRIC ASSOCIA |
| Practice Address |
8680 Hospital Way Manassas VA 20110-4287 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7033698464 |
| Practice Fax Number | 7033698467 |
| Mailing Telephone | 7033698464 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | GEOFFREY K. GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7033698464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health UVA Health System Northern Virginia Psychiatric Associa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639530124 | Nmg Affiliate Practice I, LLC | Internal Medicine | 4197c Winchester Rd, Marshall, VA 20115-3252 | 2016-03-11 |
| 1154701878 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8567 Sudley Rd Ste B, Manassas, VA 20110-3865 | 2015-06-08 |
| 1194110445 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15195 Heathcote Blvd Suite 338, Haymarket, VA 20169-6242 | 2015-04-03 |
| 1831466440 | Nmg Affiliate Practice I, LLC | Surgery | 14010 Smoketown Rd Ste 105, Woodbridge, VA 22192-4723 | 2011-11-28 |
| 1770143570 | Nmg Affiliate Practice I, LLC | Surgery | 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169-6244 | 2019-06-14 |
| 1487218871 | Nmg Affiliate Practice I, LLC | Family Medicine | 190 Moravian Way Dr, Winston Salem, NC 27106-3216 | 2019-05-01 |
| 1700440674 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-26 |
| 1780248823 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-24 |
| 1861056939 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-04-24 |
| 1952875809 | Nmg Affiliate Practice I, LLC | Obstetrics & Gynecology | 428 Hospital Dr, Warrenton, VA 20186-3026 | 2019-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | NMG Affiliate Practice I, LLC | 2085 Frontis Plaza Blvd , Winston Salem, NC 27103-5614 |
| Virginia Business Entity | NMG AFFILIATE PRACTICE I, LLC | 200 HAWTHORNE LN , CHARLOTTE, NC 28204 |
| Street Address |
8680 HOSPITAL WAY |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518950856 | William Plaxco | Psychologist | 8680 Hospital Way, Manassas, VA 20110-4287 | 2005-08-23 |
| 1750937751 | Patricia Obeng | Nurse Practitioner | 8680 Hospital Way, Manassas, VA 20110-4287 | 2019-08-15 |
| 1609360635 | Kossi Pierre Eklou | Nurse Practitioner | 8680 Hospital Way, Manassas, VA 20110-4287 | 2018-06-22 |
| 1518322668 | Nmg Affiliate Practice 1, LLC | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110-4287 | 2015-12-16 |
| 1427496496 | Dana Mohl | Nurse Practitioner | 8680 Hospital Way, Manassas, VA 20110 | 2013-06-12 |
| 1659716918 | Maria Elena Moreno | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110 | 2013-04-30 |
| 1649598244 | Partam Manalai | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110 | 2010-05-07 |
| 1811124076 | Nysa Marinda Paysour | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110-4287 | 2009-06-16 |
| 1629277074 | Karyn Flannagan | Psychologist | 8680 Hospital Way, Manassas, VA 20110-4287 | 2007-07-16 |
| 1720282429 | Adedute A Gbadehan | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110 | 2007-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295920338 | Teresa L. Delawter, M.d., P.C. | Psychiatry & Neurology | 9108 Church St., Unit 486, Manassas, VA 20108-8020 | 2007-09-12 |
| 1285793539 | Psychiatric & Counseling Center of Northern Virginia | Psychiatry & Neurology | 9244 Center Street, Manassas, VA 20110-5551 | 2006-12-06 |
| 1235212200 | Teresa L. Delawter | Psychiatry & Neurology | 9108 Church St, Unit 486, Manassas, VA 20108-8001 | 2006-10-23 |
| 1336152701 | Carl Vincent Hunt | Psychiatry & Neurology | 9691 Copeland Dr, Manassas, VA 20109-3224 | 2006-08-15 |
| 1861403156 | Afshan Ashai | Psychiatry & Neurology | 7969 Ashton Avenue, Manassas, VA 20109 | 2006-08-11 |
| 1326014853 | Jasdeep S Miglani | Psychiatry & Neurology | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2006-02-24 |
| 1518322668 | Nmg Affiliate Practice 1, LLC | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110-4287 | 2015-12-16 |
| 1659716918 | Maria Elena Moreno | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110 | 2013-04-30 |
| 1851657407 | Ella Peresechenski | Psychiatry & Neurology | 8644 Sudley Rd Ste 315, Manassas, VA 20110-4425 | 2012-04-09 |
| 1649598244 | Partam Manalai | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110 | 2010-05-07 |
| Find all providers in MANASSAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.