MEDI WEIGHTLOSS OF FAIRFAX
NPI 1356857098
Internal Medicine in Nokesville, VA

Active since December 18, 2017CLIA 49D2312021 · Waiver
14610 SULKY RUN CT, NOKESVILLE, VA 20181(571) 408-9139 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Internal Medicine
  • CLIA Number: 49D2312021
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-01-2026

About MEDI WEIGHTLOSS OF FAIRFAX

This page provides the complete NPI Profile along with additional information for Medi Weightloss Of Fairfax, an internist established in Nokesville, Virginia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1356857098 assigned on December 2017. The practitioner's primary taxonomy code is 207R00000X with license number 1043570294 (VA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Medi Weightloss Of Fairfax. The authorized official of this NPI record is Christy Harshberger Fnp-bc (Owner)

NPI
1356857098 Verify this NPI
Provider Legal Name
CAVERY WELLNESS OF FAIRFAX, LLC
Other Organization Name
MEDI WEIGHTLOSS OF FAIRFAX
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14610 SULKY RUN CT NOKESVILLE, VA 20181
Location Phone
(571) 408-9139
Mailing Address
14610 SULKY RUN CT NOKESVILLE, VA 20181
Mailing Phone
(571) 408-9139
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2017
Last Update Date
12-18-2017
Code Navigator

An internist like Medi Weightloss Of Fairfax is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
1043570294
License State
VA
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTY HARSHBERGER FNP-BC

Authorized Official Title
OWNER
Authorized Official Phone
(571) 408-9139

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2312021
Facility Type
Physician Office
Certificate Effective Date
October 02, 2024
Certificate Expiration Date
October 01, 2026
Laboratory Director
CHRISTY HARSHBERGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medi Weightloss Of Fairfax to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MEDI WEIGHTLOSS OF FAIRFAX

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
14610 SULKY RUN CT
NOKESVILLE, VA 20181

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356857098, enumerated as an "organization" on December 18, 2017.

The provider is located at 14610 SULKY RUN CT NOKESVILLE, VA 20181 and the phone number is (571) 408-9139.

Internal Medicine with taxonomy code 207R00000X.