1. Home
  2. Directory
  3. Virginia
  4. Great Falls
  5. Internal Medicine
  6. NPI Profile

GREAT FALLS GERIATRIC MEDICINE, LLC
NPI 1164019162
Internal Medicine - Geriatric Medicine in Great Falls, VA

Active since December 23, 2020
10017 PARK ROYAL DR, GREAT FALLS, VA 22066(703) 947-7377 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Falls Geriatric Medicine, Llc NPPES

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

GREAT FALLS GERIATRIC MEDICINE, LLC (NPI 1164019162) is a healthcare organization registered as a geriatric medicine in Great Falls, Virginia and active in the NPI registry since December 2020. The organization lists Carol Reyburn Martin, Physician, as its authorized official.

NPPES Registry Identity

NPI1164019162
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameGREAT FALLS GERIATRIC MEDICINE, LLC
Location Address10017 PARK ROYAL DRGreat Falls, VA 22066-1847
Mailing AddressPo Box 440Great Falls, VA 22066-0440
Phone(703) 947-7377
Organization SubpartNo
Authorized OfficialCarol Reyburn MartinPhysician · (703) 947-7377
Enumeration DateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
✔ NPI 1164019162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
10017 PARK ROYAL DR, Great Falls, VA 22066
Open in Google Maps ↗

Other Identifiers 1

Other0101265405VA · Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Great Falls Geriatric Medicine, LLC's NPI number?

The NPI number for Great Falls Geriatric Medicine, LLC is 1164019162. It was assigned to this organization in the NPPES registry on December 23, 2020.

Where is Great Falls Geriatric Medicine, LLC located?

Great Falls Geriatric Medicine, LLC is located at 10017 Park Royal Dr, Great Falls, VA 22066. The listed phone number is (703) 947-7377.

What is Great Falls Geriatric Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Great Falls Geriatric Medicine, LLC was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.