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SUMMIT HEALTH PLLC
NPI 1275318651
Clinic/Center - Primary Care in Chantilly, VA

Active since August 25, 2023
4200B TECHNOLOGY CT, CHANTILLY, VA 20151(571) 350-0929 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Summit Health Pllc NPPES

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

SUMMIT HEALTH PLLC (NPI 1275318651), doing business as Summit Direct Care, is a healthcare organization registered as a primary care in Chantilly, Virginia and active in the NPI registry since August 2023. The organization lists Diana Grimsley, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1275318651
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUMMIT HEALTH PLLC
Location Address4200B TECHNOLOGY CTChantilly, VA 20151-1214
Mailing Address4517 Waverly Crossing LnChantilly, VA 20151-2212
Phone(571) 350-0929
Organization SubpartNo
Authorized OfficialDiana GrimsleyDirector Of Operations · (703) 231-8355
Enumeration DateAugust 25, 2023
NPPES CertifiedAugust 25, 2023
✔ NPI 1275318651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
4200B TECHNOLOGY CT, Chantilly, VA 20151
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Other Names 1

Doing Business AsSummit Direct Care

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 49D2269748

Summit Health · Fairfax, VA
Expired · Oct 2, 2026
CLIA Number49D2269748
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorJohn R. Grimsley
Laboratory Phone(571) 350-0929
Laboratory LocationSummit Health13135 Route 50, Suite 150, Fairfax, VA 22033
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

VIRTUAL PHYSIO, LLC
Physical Therapist
4200B TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (703) 828-0582
REVIVAL WELLNESS & KETAMINE
Clinic/Center (Mental Health (Including Community Mental Health Center))
4200B TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (703) 988-3984
MADELINE MARIE SEGALL DC, BS
Chiropractor
4200B TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (571) 482-4052
DR. EMILY DEROCCO D.C.
Chiropractor (Pediatric Chiropractor)
4200B TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (620) 504-2434
DR. SARAH A GILPATRICK CRNP
Nurse Practitioner (Family)
4200B TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (571) 350-0929

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 Summit Health PLLC's NPI number?

The NPI number for Summit Health PLLC is 1275318651. It was assigned to this organization in the NPPES registry on August 25, 2023. The provider is doing business as Summit Direct Care.

Where is Summit Health PLLC located?

Summit Health PLLC is located at 4200B Technology Ct, Chantilly, VA 20151. The listed phone number is (571) 350-0929.

What is Summit Health PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Summit Health PLLC was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.