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NMG AFFILIATE PRACTICE I, LLC
NPI 1386113835
Pediatrics in Gainesville, VA

Active since November 14, 2018
8180 STONEWALL SHOPS SQ, GAINESVILLE, VA 20155(703) 365-0227 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nmg Affiliate Practice I, Llc NPPES

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

NMG AFFILIATE PRACTICE I, LLC (NPI 1386113835), doing business as Novant Health Uva Health System Olde Towne Pediatrics, is a healthcare organization registered as a pediatrics in Gainesville, Virginia and active in the NPI registry since November 2018. The organization lists Shala Davis, Manager, as its authorized official.

NPPES Registry Identity

NPI1386113835
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNMG AFFILIATE PRACTICE I, LLC
Location Address8180 STONEWALL SHOPS SQGainesville, VA 20155-3891
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8268
Phone(703) 365-0227
Organization SubpartNo
Authorized OfficialShala DavisManager · (704) 316-7845
Enumeration DateNovember 14, 2018
✔ NPI 1386113835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8180 STONEWALL SHOPS SQ, Gainesville, VA 20155
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Other Names 1

Doing Business AsNovant Health Uva Health System Olde Towne Pediatrics

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)

Nmg Affiliate Practice I, Llc 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

579

Medicare enrollment records show 579 clinicians reassign Medicare billing to Nmg Affiliate Practice I, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 202 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 37

Nurse Practitioner102
Obstetrics/Gynecology54
Anesthesiology51
Psychiatry51
Family Practice49
Hospitalist44
Internal Medicine29
Neurology28
29 other specialties171

Nearest to this location (20)

See all 579
Victoria Hammonds, MD
Family Practice
NPI 1336130590
8180 STONEWALL SHOPS SQ
Gainesville, VA 20155
(703) 753-9799
✔ PECOS✔ Accepts MedicareSame address
Christy Maxwell, FNP
Nurse Practitioner
NPI 1639654452
8180 STONEWALL SHOPS SQ
Gainesville, VA 20155
(703) 753-9799
✔ PECOS✔ Accepts MedicareSame address
Jennifer Staley, FNP
Nurse Practitioner
NPI 1053864918
8180 STONEWALL SHOPS SQ
Gainesville, VA 20155
(703) 753-9799
✔ PECOS✔ Accepts MedicareSame address
Steven Tang, MD
Family Practice
NPI 1497752604
8180 STONEWALL SHOPS SQ
Gainesville, VA 20155
(703) 753-9799
✔ PECOS✔ Accepts MedicareSame address
Anastasia Williams, MD
Pediatric Medicine
NPI 1346201126
8180 STONEWALL SHOPS SQ
Gainesville, VA 20155
(703) 365-0227
✔ PECOSSame address
Sanjeev Aggarwal, MD
Radiation Oncology
NPI 1316923014
7901 LAKE MANASSAS DR STE 100
Gainesville, VA 20155
(540) 829-8888
✔ PECOS✔ Accepts Medicare0.3 mi
Ahmed Khalil, MD
Hematology/Oncology
NPI 1023501780
7901 LAKE MANASSAS DR
Gainesville, VA 20155
(703) 753-4045
✔ PECOS✔ Accepts Medicare0.3 mi
Moira Sutton, MD
Radiation Oncology
NPI 1588611040
7901 LAKE MANASSAS DR STE 100
Gainesville, VA 20155
(540) 829-8888
✔ PECOS✔ Accepts Medicare0.3 mi
Karleny Beltran Alvarado, DNP, FNP-BC
Nurse Practitioner
NPI 1881229870
7915 LAKE MANASSAS DR STE 302
Gainesville, VA 20155
(571) 248-0653
✔ PECOS✔ Accepts Medicare0.3 mi
Stacy Dehal, M. D.
Obstetrics/Gynecology
NPI 1922009265
7915 LAKE MANASSAS DR SUITE 205
Gainesville, VA 20155
(571) 261-3529
✔ PECOS✔ Accepts Medicare0.3 mi
Eugene Louie-Ng, M.D.
Obstetrics/Gynecology
NPI 1164476818
7915 LAKE MANASSAS DRIVE SUITE 205
Gainesville, VA 20155
(866) 775-3551
✔ PECOS✔ Accepts Medicare0.3 mi
Sonia Parker, WHNP
Nurse Practitioner
NPI 1134636012
7915 LAKE MANASSAS DR STE 205
Gainesville, VA 20155
(571) 261-3529
✔ PECOS✔ Accepts Medicare0.3 mi
Stephanie Spytek, M.D.
Obstetrics/Gynecology
NPI 1306878954
7915 LAKE MANASSAS DR STE 205
Gainesville, VA 20155
(571) 261-3529
✔ PECOS✔ Accepts Medicare0.3 mi
Maria Pace, M.D.
Diagnostic Radiology
NPI 1316917644
14540 JOHN MARSHALL HWY STE 102
Gainesville, VA 20155
(703) 712-6062
✔ PECOS✔ Accepts Medicare2.0 mi
Justin Faul, DPM
Podiatry
NPI 1659531150
15100 WASHINGTON ST STE 203
Haymarket, VA 20169
(540) 274-3205
✔ PECOS✔ Accepts Medicare2.0 mi
Douglas Markert, M.D.
Interventional Radiology
NPI 1114907631
14540 JOHN MARSHALL HWY STE 104
Gainesville, VA 20155
(703) 712-6062
✔ PECOS✔ Accepts Medicare2.0 mi
Dena Menzel, A N. P
Nurse Practitioner
NPI 1629164645
14540 JOHN MARSHALL HWY
Gainesville, VA 20155
(703) 712-6062
✔ PECOS✔ Accepts Medicare2.0 mi
Soujanya Biragoni, M.D.
Family Practice
NPI 1639400963
15195 HEATHCOTE BLVD STE 140
Haymarket, VA 20169
(571) 284-4370
✔ PECOS✔ Accepts Medicare2.5 mi
Nicholas Dugan, MD
General Surgery
NPI 1649617101
15195 HEATHCOTE BLVD STE 330
Haymarket, VA 20169
(571) 284-3110
✔ PECOS✔ Accepts Medicare2.5 mi
Chari Smith, M.D.
Obstetrics/Gynecology
NPI 1265417240
15195 HEATHCOTE BLVD STE 320
Haymarket, VA 20169
(571) 261-3529
✔ PECOS✔ Accepts Medicare2.5 mi
See all 579 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 1386113835. It was assigned to this organization in the NPPES registry on November 14, 2018. The provider is doing business as Novant Health UVA Health System Olde Towne Pediatrics.

Where is Nmg Affiliate Practice I, LLC located?

Nmg Affiliate Practice I, LLC is located at 8180 Stonewall Shops Sq, Gainesville, VA 20155. The listed phone number is (703) 365-0227.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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), 579 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 (102), Obstetrics/Gynecology (54) and Anesthesiology (51). Of these, 5 practice at this address and 202 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 November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.