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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TJ MEDICAL SPA LLC
NPI 1730015629
Internal Medicine in Chantilly, VA

Active since June 19, 2026
14117 MARIAH CT, CHANTILLY, VA 20151(571) 335-3636 Get Directions Write a Review

NPPES record added: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tj Medical Spa Llc NPPES

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

TJ MEDICAL SPA LLC (NPI 1730015629), doing business as Evergreen Medical Group, is a healthcare organization registered as an internal medicine in Chantilly, Virginia and active in the NPI registry since June 2026. The organization lists Jin M Choi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730015629
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTJ MEDICAL SPA LLC
Location Address14117 MARIAH CTChantilly, VA 20151-2113
Mailing Address14117 Mariah CtChantilly, VA 20151-2113 · (571) 335-3636
Phone(571) 335-3636
Organization SubpartNo
Authorized OfficialJin M ChoiCeo · (571) 335-3636
Enumeration DateJune 19, 2026
Last NPPES UpdateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1730015629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14117 MARIAH CT, Chantilly, VA 20151
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Other Names 1

Doing Business AsEvergreen Medical Group

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.

BIANCA KLEIN-BRETELER
Counselor (Mental Health)
14117 MARIAH CT
CHANTILLY, VA 20151
Fairfax County (571) 520-2013

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 Tj Medical Spa LLC's NPI number?

The NPI number for Tj Medical Spa LLC is 1730015629. It was assigned to this organization in the NPPES registry on June 19, 2026. The provider is doing business as Evergreen Medical Group.

Where is Tj Medical Spa LLC located?

Tj Medical Spa LLC is located at 14117 Mariah Ct, Chantilly, VA 20151. The listed phone number is (571) 335-3636.

What is Tj Medical Spa LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Tj Medical Spa LLC was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.