NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OBGYN
NPI 1669825105
Obstetrics & Gynecology in Haymarket, VA
About Novant Health Uva Health System Lake Manassas Obgyn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OBGYN (NPI 1669825105) is a healthcare organization registered as an obstetrics & gynecology in Haymarket, Virginia and active in the NPI registry since July 2016. The organization lists Geoffrey K. Gardner, Vp Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Novant Health Uva Health System Lake Manassas Obgyn 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.
Clinicians Billing Medicare Through This Organization
580Medicare enrollment records show 580 clinicians reassign Medicare billing to Novant Health Uva Health System Lake Manassas Obgyn, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 172 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 37
Nearest to this location (20)
See all 580Source: 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 1669825105. It was assigned to this organization in the NPPES registry on July 20, 2016. The provider is doing business as Novant Health Uva Health System Lake Manassas Obgyn.
Where is Nmg Affiliate Practice I, LLC located?
Nmg Affiliate Practice I, LLC is located at 15195 Heathcote Blvd Suite 338, Haymarket, VA 20169. The listed phone number is (571) 261-3270.
What is Nmg Affiliate Practice I, LLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
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), 580 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 (103), Obstetrics/Gynecology (54) and Anesthesiology (51). Of these, 1 practice at this address and 172 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 July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Novant Health Uva Health System Lake Manassas Obgyn · NPI 1669825105
Obstetrics & Gynecology organization in Haymarket, Virginia. Organization record, active in the CMS NPPES registry since July 20, 2016.
## Identity
- **NPI:** 1669825105 (Entity type: Organization)
- **Enumerated:** July 20, 2016
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Legal business name:** Nmg Affiliate Practice I, Llc
- **Organization subpart:** No
- **Authorized official:** Geoffrey Gardner, VP OF FINANCE
## Practice location
- **Address:** 15195 HEATHCOTE BLVD, SUITE 338, Haymarket, VA 20169-6242
- **Phone:** (571) 261-3270
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 580 clinicians in 37 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (103), Obstetrics/Gynecology (54), Anesthesiology (51); 1 practice at this address and 172 within 10 miles; [full list](https://npiprofile.com/npi/1669825105/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1669825105) · Data from the CMS NPPES public registry.