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GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC
NPI 1770914939
Clinic/Center - Federally Qualified Health Center (FQHC) in Manassas, VA

Active since December 12, 2013
9705 LIBERIA AVE, MANASSAS, VA 20110(703) 680-7950(703) 680-7953 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Greater Prince William Area Community Health Center Inc NPPES

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

GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC (NPI 1770914939), doing business as Evergreen Terrace Building, is a healthcare organization registered as a federally qualified health center (fqhc) in Manassas, Virginia and active in the NPI registry since December 2013. The organization lists Melissa Moorer, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1770914939
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC
Location Address9705 LIBERIA AVEManassas, VA 20110-1743
Mailing Address3350 Commission CtWoodbridge, VA 22192-1784 · (703) 680-7950 · Fax (703) 680-7953
Phone(703) 680-7950
Fax(703) 680-7953
Organization SubpartYes
Authorized OfficialMelissa MoorerDirector Of Revenue Cycle · (540) 295-4014
Enumeration DateDecember 12, 2013
Last NPPES UpdateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
✔ NPI 1770914939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
9705 LIBERIA AVE, Manassas, VA 20110
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Other Names 2

Doing Business AsEvergreen Terrace Building
Doing Business AsLunera Health

Other Identifiers 1

Medicaid1770914939VA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greater Prince William Area Community Health Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Greater Prince William Area Community Health Center Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner9
Clinical Social Worker5
Family Practice4
Mental Health Counselor4
Pediatric Medicine4
Obstetrics/Gynecology3
Certified Nurse Midwife (CNM)2
Dentist2
3 other specialties3

Nearest to this location (20)

See all 36
Hussien Al-Shammaa, M. D.,F.A.A.P.
Pediatric Medicine
NPI 1093765646
9705 LIBERIA AVE
Manassas, VA 20110
(703) 680-7950
✔ PECOS✔ Accepts MedicareSame address
Briana Malcolm, DO
Pediatric Medicine
NPI 1396485694
9705 LIBERIA AVE STE 201
Manassas, VA 20110
(703) 680-7950
✔ PECOSSame address
Maureen Romano
Clinical Social Worker
NPI 1427781657
9705 LIBERIA AVE STE 201
Manassas, VA 20110
(703) 680-7950
✔ PECOS✔ Accepts MedicareSame address
Sushma Shrestha
Nurse Practitioner
NPI 1548975949
9705 LIBERIA AVE
Manassas, VA 20110
(703) 680-7950
✔ PECOSSame address
Nitu Pandit, P.T.
Physical Therapist in Private Practice
NPI 1760597843
8100 ASHTON AVE STE 101
Manassas, VA 20109
(703) 257-8090
✔ Accepts Medicare4.5 mi
Dristi Basnet
Nurse Practitioner
NPI 1407447931
4379 RIDGEWOOD CENTER DR STE 102
Woodbridge, VA 22192
(571) 331-8086
✔ PECOS7.7 mi
Rachel Jansen, DO
Obstetrics/Gynecology
NPI 1952453482
4379 RIDGEWOOD CENTER DR STE 102
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS7.7 mi
Syed Mahboob, M.D
Family Practice
NPI 1770760944
4379 RIDGEWOOD CENTER DR SUITE 102
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS✔ Accepts Medicare7.7 mi
Jean-Andre Constant, LCSW
Clinical Social Worker
NPI 1952442717
4379 RIDGEWOOD CENTER DR STE 102
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS7.7 mi
Teresa Rose, FNP-C
Nurse Practitioner
NPI 1073166096
4379 RIDGEWOOD CENTER DR STE 102
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS7.7 mi
Nury Salazar
Nurse Practitioner
NPI 1083227300
4379 RIDGEWOOD CENTER DR # 10202
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS✔ Accepts Medicare7.7 mi
Michael Smith, MD
Obstetrics/Gynecology
NPI 1053302513
4379 RIDGEWOOD CENTER DR STE 102
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS✔ Accepts Medicare7.7 mi
Deborah Yuan
Nurse Practitioner
NPI 1356823215
4379 RIDGEWOOD CENTER DR STE 102
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS✔ Accepts Medicare7.7 mi
Stephen Andrews, LCSW
Clinical Social Worker
NPI 1336987460
3350 COMMISSION CT
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS8.4 mi
Zaida Dayton, PHD, LPC
Mental Health Counselor
NPI 1114349909
3350 COMMISSION CT
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS✔ Accepts Medicare8.4 mi
Tina Falika King, M.D., M.P.H.
Obstetrics/Gynecology
NPI 1629202361
3350 COMMISSION CT
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS✔ Accepts Medicare8.4 mi
Anneliese Peredo
Mental Health Counselor
NPI 1427921337
3350 COMMISSION CT
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS8.4 mi
Kayla Thompson, FNP
Nurse Practitioner
NPI 1679447213
3350 COMMISSION CT
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS✔ Accepts Medicare8.4 mi
June Toth, LPC
Mental Health Counselor
NPI 1093162356
3350 COMMISSION CT
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS✔ Accepts Medicare8.4 mi
Rashid Mohiuddin, MD
Family Practice
NPI 1881627834
3350 COMMISSION CT
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS✔ Accepts Medicare8.4 mi
See all 36 clinicians

Source: 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 Greater Prince William Area Community Health Center Inc's NPI number?

The NPI number for Greater Prince William Area Community Health Center Inc is 1770914939. It was assigned to this organization in the NPPES registry on December 12, 2013. The provider is doing business as Evergreen Terrace Building and Lunera Health.

Where is Greater Prince William Area Community Health Center Inc located?

Greater Prince William Area Community Health Center Inc is located at 9705 Liberia Ave, Manassas, VA 20110. The listed phone number is (703) 680-7950.

What is Greater Prince William Area Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Greater Prince William Area Community Health Center Inc enrolled in Medicare?

Yes. Greater Prince William Area Community Health Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greater Prince William Area Community Health Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 11 Medicare specialties reassign their Medicare billing to Greater Prince William Area Community Health Center Inc. 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 (9), Clinical Social Worker (5) and Family Practice (4). Of these, 4 practice at this address and 20 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 Greater Prince William Area Community Health Center Inc was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.