NMG AFFILIATE PRACTICE I LLC NPI 1922449263

NPI Information

  • NPI: 1922449263
  • Provider Name: NMG AFFILIATE PRACTICE I, LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OB/GYN
  • Address: 25055 RIDING PLZ
    SUITE 230
    SOUTH RIDING, VA
    ZIP 20152
  • Phone: (703) 361-3551

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NPI Details

NMG AFFILIATE PRACTICE I, LLC is an obstetrics gynecology in South Riding, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NMG AFFILIATE PRACTICE I, LLC NPI is 1922449263. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Uva Health System Lake Manassas Ob/gyn.

The provider's business location address is:

25055 RIDING PLZ
SUITE 230
SOUTH RIDING, VA
ZIP 20152-917
Phone: (703) 361-3551
Fax: (703) 365-7702

The provider's authorized official is Geoffrey K Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (571) 261-3529.

The enumeration date for this NPI number is 7/16/2013 and was last updated on 4/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11922449263MEDICAIDVIRGINIA
2VAA110009MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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