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MILLENIUM ELITE PRIMARY CARE
NPI 1659250595
Nurse Practitioner - Adult Health in Fairfax, VA

Active since August 27, 2025CLIA 49D2331602 · Waiver
3060 WILLIAMS DR., SUITE 300, FAIRFAX, VA 22031(703) 798-5295 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Millenium Elite Primary Care NPPES

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

MILLENIUM ELITE PRIMARY CARE (NPI 1659250595) is a healthcare organization registered as an adult health in Fairfax, Virginia and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Myrgine Barosy, Owner, as its authorized official.

NPPES Registry Identity

NPI1659250595
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameMILLENIUM ELITE PRIMARY CARE
Location Address3060 WILLIAMS DR., SUITE 300Fairfax, VA 22031
Mailing Address1320 Central Park Blvd Ste 200Fredericksburg, VA 22401-4953
Phone(703) 798-5295
Organization SubpartNo
Authorized OfficialMyrgine BarosyOwner · (703) 798-5295
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1659250595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
3060 WILLIAMS DR., Fairfax, VA 22031
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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

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 49D2331602

Millenium Elite Primary Care, PLLC · Fredericksburg, VA
Active · expires Oct 5, 2027
CLIA Number49D2331602
Laboratory TypePractitioner Other
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorMyrgine Barosy
Laboratory Phone(540) 783-4724
Laboratory LocationMillenium Elite Primary Care, PLLC2533 Cowan Blvd, Fredericksburg, VA 22401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Millenium Elite Primary Care's NPI number?

The NPI number for Millenium Elite Primary Care is 1659250595. It was assigned to this organization in the NPPES registry on August 27, 2025.

Where is Millenium Elite Primary Care located?

Millenium Elite Primary Care is located at 3060 Williams Dr. Suite 300, Fairfax, VA 22031. The listed phone number is (703) 798-5295.

What is Millenium Elite Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does Millenium Elite Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2331602) is associated with this NPI, valid through October 5, 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 Millenium Elite Primary Care was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.