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NOVANT HEALTH UVA HEALTH SYSTEM BRISTOW RUN FAMILY MEDICINE
NPI 1295169605
Family Medicine in Gainesville, VA

Active since August 22, 2013
14540 JOHN MARSHALL HWY, SUITE 104, GAINESVILLE, VA 20155(703) 753-9799(703) 753-9792 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Novant Health Uva Health System Bristow Run Family Medicine NPPES

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

NOVANT HEALTH UVA HEALTH SYSTEM BRISTOW RUN FAMILY MEDICINE (NPI 1295169605) is a healthcare organization registered as a family medicine in Gainesville, Virginia and active in the NPI registry since August 2013. The organization lists Geoffrey Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1295169605
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNMG AFFILIATE PRACTICE I, LLC
Location Address14540 JOHN MARSHALL HWY, SUITE 104Gainesville, VA 20155-1691
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (703) 753-9799
Phone(703) 753-9799
Fax(703) 753-9792
Organization SubpartNo
Authorized OfficialGeoffrey GardnerVp Of Finance · (703) 753-9799
Enumeration DateAugust 22, 2013
Last NPPES UpdateApril 6, 2016
✔ NPI 1295169605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14540 JOHN MARSHALL HWY, Gainesville, VA 20155
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Other Names 1

Doing Business AsNovant Health Uva Health System Bristow Run Family Medicine

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 Uva Health System Bristow Run Family Medicine 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 Uva Health System Bristow Run Family Medicine, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 172 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
Douglas Markert, M.D.
Interventional Radiology
NPI 1114907631
14540 JOHN MARSHALL HWY STE 104
Gainesville, VA 20155
(703) 712-6062
✔ PECOS✔ Accepts MedicareSame address
Dena Menzel, A N. P
Nurse Practitioner
NPI 1629164645
14540 JOHN MARSHALL HWY
Gainesville, VA 20155
(703) 712-6062
✔ PECOS✔ Accepts MedicareSame address
A. Christopher Moosavi, MD
Interventional Radiology
NPI 1083826630
14540 JOHN MARSHALL HWY
Gainesville, VA 20155
(037) 126-0627
✔ PECOS✔ Accepts MedicareSame address
Adam Winick, M.D.
Diagnostic Radiology
NPI 1508820499
14540 JOHN MARSHALL HWY STE 104
Gainesville, VA 20155
(703) 712-6062
✔ PECOS✔ Accepts MedicareSame address
Maria Pace, M.D.
Diagnostic Radiology
NPI 1316917644
14540 JOHN MARSHALL HWY STE 102
Gainesville, VA 20155
(703) 712-6062
✔ PECOS✔ Accepts MedicareSame address
Justin Faul, DPM
Podiatry
NPI 1659531150
15100 WASHINGTON ST STE 203
Haymarket, VA 20169
(540) 274-3205
✔ PECOS✔ Accepts Medicare0.6 mi
Oladunni Ayanru
Nurse Practitioner
NPI 1790291136
15195 HEATHCOTE BLVD STE 140
Haymarket, VA 20169
(571) 284-4370
✔ PECOS1.1 mi
Soujanya Biragoni, M.D.
Family Practice
NPI 1639400963
15195 HEATHCOTE BLVD STE 140
Haymarket, VA 20169
(571) 284-4370
✔ PECOS✔ Accepts Medicare1.1 mi
Nicholas Dugan, MD
General Surgery
NPI 1649617101
15195 HEATHCOTE BLVD STE 330
Haymarket, VA 20169
(571) 284-3110
✔ PECOS✔ Accepts Medicare1.1 mi
Heidi Gorsuch-Rafferty, MD
General Surgery
NPI 1518981661
15195 HEATHCOTE BLVD STE 338
Haymarket, VA 20169
(571) 261-3270
✔ PECOS✔ Accepts Medicare1.1 mi
Ian Greenwalt, M.D.
General Surgery
NPI 1720405665
15195 HEATHCOTE BLVD STE 240
Haymarket, VA 20169
(571) 284-3460
✔ PECOS✔ Accepts Medicare1.1 mi
Christopher Kim, MD
Family Practice
NPI 1255820056
15195 HEATHCOTE BLVD STE 140
Haymarket, VA 20169
(571) 284-4370
✔ PECOS✔ Accepts Medicare1.1 mi
Vivian Nakawala, NP
Nurse Practitioner
NPI 1609363647
15195 HEATHCOTE BLVD STE 140
Haymarket, VA 20169
(571) 284-4370
✔ PECOS✔ Accepts Medicare1.1 mi
Chari Smith, M.D.
Obstetrics/Gynecology
NPI 1265417240
15195 HEATHCOTE BLVD STE 320
Haymarket, VA 20169
(571) 261-3529
✔ PECOS✔ Accepts Medicare1.1 mi
Elizabeth Zubowicz, MD
General Practice
NPI 1679899439
15195 HEATHCOTE BLVD STE 350
Haymarket, VA 20169
(571) 284-3380
✔ PECOS✔ Accepts Medicare1.1 mi
Sanjeev Aggarwal, MD
Radiation Oncology
NPI 1316923014
7901 LAKE MANASSAS DR STE 100
Gainesville, VA 20155
(540) 829-8888
✔ PECOS✔ Accepts Medicare1.8 mi
Ahmed Khalil, MD
Hematology/Oncology
NPI 1023501780
7901 LAKE MANASSAS DR
Gainesville, VA 20155
(703) 753-4045
✔ PECOS✔ Accepts Medicare1.8 mi
Moira Sutton, MD
Radiation Oncology
NPI 1588611040
7901 LAKE MANASSAS DR STE 100
Gainesville, VA 20155
(540) 829-8888
✔ PECOS✔ Accepts Medicare1.8 mi
Stacy Dehal, M. D.
Obstetrics/Gynecology
NPI 1922009265
7915 LAKE MANASSAS DR SUITE 205
Gainesville, VA 20155
(571) 261-3529
✔ PECOS✔ Accepts Medicare1.8 mi
Anastasia Williams, MD
Pediatric Medicine
NPI 1346201126
8180 STONEWALL SHOPS SQ
Gainesville, VA 20155
(703) 365-0227
✔ PECOS2.0 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 1295169605. It was assigned to this organization in the NPPES registry on August 22, 2013. The provider is doing business as Novant Health Uva Health System Bristow Run Family Medicine.

Where is Nmg Affiliate Practice I, LLC located?

Nmg Affiliate Practice I, LLC is located at 14540 John Marshall Hwy Suite 104, Gainesville, VA 20155. The listed phone number is (703) 753-9799.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 5 practice at this address and 172 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 April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.