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PREMISE HEALTH OF VIRGINIA MEDICAL PC
NPI 1629559463
Clinic/Center - Primary Care in Mc Lean, VA

Active since August 28, 2018CLIA 49D1031003 · Waiver
8200 JONES BRANCH DR, MC LEAN, VA 22102(703) 903-2844(703) 903-2803 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2022, Nov 19, 2019, Aug 28, 2018 (3 updates tracked since 2018).

About Premise Health Of Virginia Medical Pc NPPES

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

PREMISE HEALTH OF VIRGINIA MEDICAL PC (NPI 1629559463), doing business as Freddie Mac Wellness Center, is a healthcare organization registered as a primary care in Mc Lean, Virginia and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1629559463
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF VIRGINIA MEDICAL PC
Location Address8200 JONES BRANCH DRMc Lean, VA 22102-3107
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(703) 903-2844
Fax(703) 903-2803
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 28, 2018
Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1629559463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
8200 JONES BRANCH DR, Mc Lean, VA 22102
Open in Google Maps ↗

Other Names 1

Doing Business AsFreddie Mac Wellness Center

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 49D1031003

Premise Health Of Virginia Medical PC · Mclean, VA
Active · expires Sep 21, 2026
CLIA Number49D1031003
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorSeyed Ali Mohammadi Ghadikalaei
Laboratory Phone(703) 903-2844
Laboratory LocationPremise Health Of Virginia Medical PC8200 Jones Branch Drive Pho 1, Room 1317, Mclean, VA 22102
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

VALERIE J.S. WROBEL MSN, RN, BC,ANP/GNP
Nurse Practitioner
8200 JONES BRANCH DR, PREMISE HEALTH CLINIC
MC LEAN, VA 22102
Fairfax County (703) 903-2844
JULIA W SHINER M.D.
Internal Medicine
8200 JONES BRANCH DR, ROOM 1317 MS 111
MC LEAN, VA 22102
Fairfax County (703) 903-2844
DR. KYLE GRAHAM DC
Chiropractor
8200 JONES BRANCH DR
MC LEAN, VA 22102
Fairfax County (304) 839-8714
MRS. HEATHER LYNN BONSHOCK FNP-C
Nurse Practitioner (Family)
8200 JONES BRANCH DR, WELLNESS CENTER RM.1317 MS111
MC LEAN, VA 22102
Fairfax County (703) 903-2844

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 Premise Health Of Virginia Medical PC's NPI number?

The NPI number for Premise Health Of Virginia Medical PC is 1629559463. It was assigned to this organization in the NPPES registry on August 28, 2018. The provider is doing business as Freddie Mac Wellness Center.

Where is Premise Health Of Virginia Medical PC located?

Premise Health Of Virginia Medical PC is located at 8200 Jones Branch Dr, Mc Lean, VA 22102. The listed phone number is (703) 903-2844.

What is Premise Health Of Virginia Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Premise Health Of Virginia Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1031003) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Virginia Medical PC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.