EXECUTIVE HEALTH GROUP
NPI 1033497649
Family Medicine in Richmond, VA
About Executive Health Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXECUTIVE HEALTH GROUP (NPI 1033497649) is a healthcare organization registered as a family medicine in Richmond, Virginia and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists John Rand Baggesen, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Executive Health Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Executive Health Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D1103104
Executive Health Group · Richmond, VAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Executive Health Group, PC's NPI number?
The NPI number for Executive Health Group, PC is 1033497649. It was assigned to this organization in the NPPES registry on July 31, 2011. The provider is doing business as Executive Health Group.
Where is Executive Health Group, PC located?
Executive Health Group, PC is located at 7101 Jahnke Rd Suite 550-A, Richmond, VA 23225. The listed phone number is (804) 560-3295.
What is Executive Health Group, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Executive Health Group, PC enrolled in Medicare?
Yes. Executive Health Group, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Executive Health Group, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Executive Health Group, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (5) and Internal Medicine (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Executive Health Group, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D1103104) is associated with this NPI, valid through August 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Executive Health Group, PC was last updated on July 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Executive Health Group · NPI 1033497649
Family Medicine organization in Richmond, Virginia. Organization record, active in the CMS NPPES registry since July 31, 2011.
## Identity
- **NPI:** 1033497649 (Entity type: Organization)
- **Enumerated:** July 31, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Executive Health Group, Pc
- **Organization subpart:** No
- **Authorized official:** John Baggesen, PRESIDENT & CEO
## Practice location
- **Address:** 7101 JAHNKE RD, SUITE 550-A, Richmond, VA 23225-4017
- **Phone:** (804) 560-3295 · **Fax:** (804) 560-9577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (5), Internal Medicine (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033497649) · Data from the CMS NPPES public registry.