NOVANT HEALTH PRINCE WILLIAM CARDIOLOGY
NPI 1154701878
Internal Medicine - Cardiovascular Disease in Manassas, VA

Active since June 08, 2015
8567 SUDLEY RD STE B, MANASSAS, VA 20110(703) 369-5959(703) 369-7473 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Novant Health Prince William Cardiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH PRINCE WILLIAM CARDIOLOGY (NPI 1154701878) is a healthcare organization registered as a cardiovascular disease in Manassas, Virginia and active in the NPI registry since June 2015. The organization lists Geoffery K Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1154701878
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNMG AFFILIATE PRACTICE I, LLC
Location Address8567 SUDLEY RD STE BManassas, VA 20110-3865
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (703) 369-5959 · Fax (703) 369-7473
Fax(703) 369-7473
Organization SubpartNo
Authorized OfficialGeoffery K GardnerVp Of Finance · (704) 384-7606
Enumeration DateJune 8, 2015
✔ NPI 1154701878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
8567 SUDLEY RD STE B, Manassas, VA 20110

Other Names 1

Doing Business AsNovant Health Prince William Cardiology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Prince William Cardiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20110311000151Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

580

Medicare enrollment records show 580 clinicians reassign Medicare billing to Novant Health Prince William Cardiology, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 181 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 37

Nurse Practitioner103
Obstetrics/Gynecology54
Anesthesiology51
Psychiatry51
Family Practice49
Hospitalist44
Internal Medicine29
Neurology28
29 other specialties171

Nearest to this location (20)

See all 580
Cardiovascular Disease (Cardiology)
NPI 1336129147
8569 SUDLEY RD
Manassas, VA 20110
(703) 369-5959
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1942489638
8569 SUDLEY RD STE B
Manassas, VA 20110
(703) 369-5959
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1427151612
8525 ROLLING RD STE 220
Manassas, VA 20110
(703) 393-0700
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1235175332
8525 ROLLING RD SUITE 220
Manassas, VA 20110
(703) 393-0700
✔ PECOS0.1 mi
Orthopedic Surgery
NPI 1184043622
8525 ROLLING RD STE 300
Manassas, VA 20110
(703) 393-1667
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1548612914
8609 SUDLEY RD STE 203
Manassas, VA 20110
(703) 369-9090
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1639799497
8640 SUDLEY RD STE 303
Manassas, VA 20110
(571) 261-3529
✔ PECOS✔ Accepts Medicare0.2 mi
Gastroenterology
NPI 1841469061
8640 SUDLEY RD STE 201
Manassas, VA 20110
(703) 368-6819
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1508168089
8640 SUDLEY RD STE 303
Manassas, VA 20110
(571) 261-3529
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiovascular Disease (Cardiology)
NPI 1104842061
8640 SUDLEY RD STE 302
Manassas, VA 20110
(703) 369-5959
✔ PECOS✔ Accepts Medicare0.2 mi
Interventional Cardiology
NPI 1417341850
8640 SUDLEY RD STE 302
Manassas, VA 20110
(703) 369-5959
✔ PECOS✔ Accepts Medicare0.2 mi
Gynecological Oncology
NPI 1649213158
8640 SUDLEY RD STE 303
Manassas, VA 20110
(571) 261-3529
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1225475973
8640 SUDLEY RD STE 302
Manassas, VA 20110
(703) 369-5959
✔ PECOS✔ Accepts Medicare0.2 mi
Neurology
NPI 1184881245
8644 SUDLEY RD STE 315
Manassas, VA 20110
(571) 284-1140
✔ PECOS✔ Accepts Medicare0.2 mi
Psychiatry
NPI 1467448589
8644 SUDLEY RD STE 315
Manassas, VA 20110
(703) 369-8565
✔ PECOS✔ Accepts Medicare0.2 mi
Plastic and Reconstructive Surgery
NPI 1649774613
8644 SUDLEY RD STE 118
Manassas, VA 20110
(571) 833-7951
✔ PECOS✔ Accepts Medicare0.2 mi
Medical Oncology
NPI 1316355662
8644 SUDLEY RD STE 315
Manassas, VA 20110
(703) 369-8030
✔ PECOS✔ Accepts Medicare0.2 mi
Colorectal Surgery (Proctology)
NPI 1487185435
8644 SUDLEY RD STE 118
Manassas, VA 20110
(571) 833-7951
✔ PECOS✔ Accepts Medicare0.2 mi
Hospitalist
NPI 1700515640
8700 SUDLEY RD
Manassas, VA 20110
(703) 396-5292
✔ PECOS✔ Accepts Medicare0.2 mi
Diagnostic Radiology
NPI 1689037970
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8000
✔ PECOS✔ Accepts Medicare0.2 mi
See all 580 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Nmg Affiliate Practice I, LLC's NPI number?

The NPI number for Nmg Affiliate Practice I, LLC is 1154701878. It was assigned to this organization in the NPPES registry on June 8, 2015. The provider is doing business as Novant Health Prince William Cardiology.

Where is Nmg Affiliate Practice I, LLC located?

Nmg Affiliate Practice I, LLC is located at 8567 Sudley Rd Ste B, Manassas, VA 20110. The listed phone number is (703) 369-5959.

What is Nmg Affiliate Practice I, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nmg Affiliate Practice I, LLC enrolled in Medicare?

Yes. Nmg Affiliate Practice I, LLC is registered in the Medicare PECOS enrollment system.

When is Nmg Affiliate Practice I, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nmg Affiliate Practice I, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 580 clinicians in 37 Medicare specialties reassign their Medicare billing to Nmg Affiliate Practice I, LLC. 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 Nurse Practitioner (103), Obstetrics/Gynecology (54) and Anesthesiology (51). Of these, 2 practice at this address and 181 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nmg Affiliate Practice I, LLC was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.