MOUNT VERNON INTERNAL MEDICINE
NPI 1225689698
Podiatrist in Springfield, VA

Active since September 26, 2019
6128 BRANDON AVE STE 201, SPRINGFIELD, VA 22150(571) 366-8850 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 11, 2020, Sep 26, 2019 (2 updates tracked since 2019).

About Mount Vernon Internal Medicine NPPES

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

MOUNT VERNON INTERNAL MEDICINE (NPI 1225689698) is a healthcare organization registered as a podiatrist in Springfield, Virginia and active in the NPI registry since September 2019. The organization lists Courtney Ainsworth Ivess, Associate Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1225689698
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address6128 BRANDON AVE STE 201Springfield, VA 22150-2693
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (571) 366-8850
Organization SubpartNo
Authorized OfficialCourtney Ainsworth IvessAssociate Director, Credentialing · (571) 366-8831
Enumeration DateSeptember 26, 2019
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
NPI 1225689698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
6128 BRANDON AVE STE 201, Springfield, VA 22150

Other Names 1

Doing Business AsMount Vernon Internal Medicine

Other Identifiers 1

Other7442750010VA · Medicare Dme

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
6128 BRANDON AVE STE 201
SPRINGFIELD, VA 22150
Internal Medicine
6128 BRANDON AVE STE 201
SPRINGFIELD, VA 22150
Internal Medicine
6128 BRANDON AVE STE 201
SPRINGFIELD, VA 22150
Family Medicine (Adult Medicine)
6128 BRANDON AVE STE 201
SPRINGFIELD, VA 22150
Internal Medicine (Gastroenterology)
6128 BRANDON AVE STE 201
SPRINGFIELD, VA 22150
Internal Medicine
6128 BRANDON AVE STE 201
SPRINGFIELD, VA 22150
Internal Medicine (Gastroenterology)
6128 BRANDON AVE STE 201
SPRINGFIELD, VA 22150

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 Privia Medical Group, LLC's NPI number?

The NPI number for Privia Medical Group, LLC is 1225689698. It was assigned to this organization in the NPPES registry on September 26, 2019. The provider is doing business as Mount Vernon Internal Medicine.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 6128 Brandon Ave Ste 201, Springfield, VA 22150. The listed phone number is (571) 366-8850.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.