1. Home
  2. Directory
  3. Virginia
  4. Leesburg
  5. Family Medicine
  6. NPI Profile

LMG CORNWALL PRIMARY CARE
NPI 1407354228
Family Medicine in Leesburg, VA

Active since January 26, 2018CLIA 49D2233307 · Waiver
211 GIBSON STREET, NW, SUITE 215, LEESBURG, VA 20176(571) 707-2085(571) 291-9196 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2023, Sep 21, 2022, Mar 11, 2022 and 1 more (4 updates tracked since 2021).

About Lmg Cornwall Primary Care NPPES

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

LMG CORNWALL PRIMARY CARE (NPI 1407354228) is a healthcare organization registered as a family medicine in Leesburg, Virginia and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407354228
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLOUDOUN MEDICAL GROUP, PC
Location Address211 GIBSON STREET, NW, SUITE 215Leesburg, VA 20176-2115
Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Phone(571) 707-2085
Fax(571) 291-9196
Organization SubpartYes
Authorized OfficialMary Beth TamasyCeo · (703) 737-6001
Enumeration DateJanuary 26, 2018
Last NPPES UpdateAugust 18, 20234 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1407354228 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.
211 GIBSON STREET, NW, SUITE 215, Leesburg, VA 20176
Open in Google Maps ↗

Other Names 1

Doing Business AsLmg Cornwall Primary Care

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

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 49D2233307

Lmg Cornwall Primary Care · Leesburg, VA
Active · expires Aug 22, 2027
CLIA Number49D2233307
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorJoseph Lee
Laboratory Phone(571) 707-2085
Laboratory LocationLmg Cornwall Primary Care211 Gibson Street NW Suite 215, Leesburg, VA 20176
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

JOSEPH YIM LEE MD
Family Medicine
211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
Loudoun County (571) 707-2085
LOUDOUN MEDICAL GROUP, PC
Clinic/Center (Urgent Care)
211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
Loudoun County (571) 707-2085
REGAN ASHLEIGH HOUSTON PA-C
Physician Assistant
211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
Loudoun County (571) 707-2085
LOUDOUN MEDICAL GROUP, PC
Speech-Language Pathologist
211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
Loudoun County (571) 707-2067
MOIRA HANLEY-NIEMAN PA-C
Physician Assistant (Medical)
211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
Loudoun County (571) 707-2085
KAIE MANOR FNP-BC
Nurse Practitioner (Family)
211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
Loudoun County (571) 707-2085
DANIELLE ZIMMET PA-C
Physician Assistant
211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
Loudoun County (571) 707-2085
MRS. ANNE MARIE CRAIG FNP
Nurse Practitioner (Family)
211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
Loudoun County (571) 707-2085

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 Loudoun Medical Group, PC's NPI number?

The NPI number for Loudoun Medical Group, PC is 1407354228. It was assigned to this organization in the NPPES registry on January 26, 2018. The provider is doing business as Lmg Cornwall Primary Care.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 211 Gibson Street, NW, Suite 215, Leesburg, VA 20176. The listed phone number is (571) 707-2085.

What is Loudoun Medical Group, PC's specialty?

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

Does Loudoun Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2233307) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Loudoun Medical Group, PC was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.