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CCRM VIRGINIA LLC
NPI 1568993855
Obstetrics & Gynecology - Reproductive Endocrinology in Vienna, VA

Active since March 27, 2017
8010 TOWERS CRESCENT DR, VIENNA, VA 22182(571) 789-2100 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 13, 2026, Mar 27, 2017 (2 updates tracked since 2017).

About Ccrm Virginia Llc NPPES

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

CCRM VIRGINIA LLC (NPI 1568993855) is a healthcare organization registered as a reproductive endocrinology in Vienna, Virginia and active in the NPI registry since March 2017. The organization lists Matt Tyson, Director, Managed Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1568993855
Entity TypeOrganization
Primary Taxonomy207VE0102X
Legal Business NameCCRM VIRGINIA LLC
Location Address8010 TOWERS CRESCENT DRVienna, VA 22182-2710
Mailing Address8010 Towers Crescent Dr Fl 5Vienna, VA 22182-2710 · (571) 789-2100
Phone(571) 789-2100
Organization SubpartNo
Authorized OfficialMatt TysonDirector, Managed Care Contracting · (615) 477-6677
Enumeration DateMarch 27, 2017
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1568993855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License✔ Licensed in VA · 0101243183
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
8010 TOWERS CRESCENT DR, Vienna, VA 22182
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CCRM NORTHERN VIRGINIA, LLC
Clinic/Center (Ambulatory Fertility Facility)
8010 TOWERS CRESCENT DR, 5TH FLOOR
VIENNA, VA 22182
Fairfax County (571) 789-2100

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 Ccrm Virginia LLC's NPI number?

The NPI number for Ccrm Virginia LLC is 1568993855. It was assigned to this organization in the NPPES registry on March 27, 2017.

Where is Ccrm Virginia LLC located?

Ccrm Virginia LLC is located at 8010 Towers Crescent Dr, Vienna, VA 22182. The listed phone number is (571) 789-2100.

What is Ccrm Virginia LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

When was this NPI record last updated?

The NPPES record for Ccrm Virginia LLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.