UVA BREAST SURGERY WOODBRIDGE
NPI 1831466440
Surgery in Woodbridge, VA

Active since November 28, 2011
14010 SMOKETOWN RD STE 105, WOODBRIDGE, VA 22192(703) 730-4848(703) 730-7236 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2021, Mar 4, 2020, Nov 12, 2018 and 1 more (4 updates tracked since 2016).

About Uva Breast Surgery Woodbridge NPPES

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

UVA BREAST SURGERY WOODBRIDGE (NPI 1831466440) is a healthcare organization registered as a surgery in Woodbridge, Virginia and active in the NPI registry since November 2011. The organization lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1831466440
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameNMG AFFILIATE PRACTICE I, LLC
Location Address14010 SMOKETOWN RD STE 105Woodbridge, VA 22192-4723
Mailing AddressPo Box 936952Atlanta, GA 31193-6952
Fax(703) 730-7236
Organization SubpartNo
Authorized OfficialShala DavisRcs Manager · (704) 303-7517
Enumeration DateNovember 28, 2011
Last NPPES UpdateSeptember 14, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1831466440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
14010 SMOKETOWN RD STE 105, Woodbridge, VA 22192

Other Names 1

Doing Business AsUva Breast Surgery Woodbridge

Other Identifiers 1

Medicaid1831466440VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Uva Breast Surgery Woodbridge 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.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20110311000151Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

579

Medicare enrollment records show 579 clinicians reassign Medicare billing to Uva Breast Surgery Woodbridge, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 37

Nurse Practitioner102
Obstetrics/Gynecology54
Anesthesiology51
Psychiatry51
Family Practice49
Hospitalist44
Internal Medicine29
Neurology28
29 other specialties171

Nearest to this location (20)

See all 579
Nurse Practitioner
NPI 1013071018
14330 GIDEON DR STE B
Woodbridge, VA 22192
(571) 408-6800
✔ PECOS0.4 mi
Hospitalist
NPI 1619260379
2300 OPITZ BLVD STE G-209
Woodbridge, VA 22191
(703) 523-0611
✔ PECOS✔ Accepts Medicare0.8 mi
Interventional Cardiology
NPI 1124419916
2022 OPITZ BLVD STE B
Woodbridge, VA 22191
(571) 398-2341
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1437332780
13168 CENTERPOINTE WAY STE 101
Woodbridge, VA 22193
(703) 730-2000
✔ PECOS✔ Accepts Medicare2.6 mi
Obstetrics/Gynecology
NPI 1952453482
4379 RIDGEWOOD CENTER DR STE 102
Woodbridge, VA 22192
(703) 680-7950
✔ PECOS3.1 mi
Nurse Practitioner
NPI 1417355124
3700 FETTLER PARK DRIVE DUMFRIES HEALTH CLINIC
Dumfries, VA 22025
(703) 441-7500
✔ PECOS4.5 mi
Internal Medicine
NPI 1386886216
9300 DEWITT LOOP
Ft Belvoir, VA 22060
(571) 231-3224
✔ PECOS8.8 mi
Critical Care (Intensivists)
NPI 1033579479
9300 DEWITT LOOP
Fort Belvoir, VA 22060
(571) 231-1605
✔ PECOS✔ Accepts Medicare8.8 mi
Diagnostic Radiology
NPI 1801008271
8001 FORBES PL SUITE 103
Springfield, VA 22151
(703) 824-3200
✔ PECOS✔ Accepts Medicare12 mi
Pediatric Medicine
NPI 1801940531
9430 FORESTWOOD LN STE 100
Manassas, VA 20110
(703) 365-0227
✔ PECOS13 mi
Urology
NPI 1124268230
9430 FORESTWOOD LN STE 100
Manassas, VA 20110
(571) 284-1430
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1295395002
9430 FORESTWOOD LN STE 100
Manassas, VA 20110
(703) 365-0227
✔ PECOS✔ Accepts Medicare13 mi
Obstetrics/Gynecology
NPI 1689317521
8691 STONEWALL RD
Manassas, VA 20110
(571) 261-3529
✔ PECOS13 mi
Gastroenterology
NPI 1720345135
8691 STONEWALL RD
Manassas, VA 20110
(571) 833-7951
✔ PECOS✔ Accepts Medicare13 mi
Gynecological Oncology
NPI 1669497947
8691 STONEWALL RD
Manassas, VA 20110
(571) 261-3529
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1588649990
9590 SURVEYOR CT
Manassas, VA 20110
(703) 361-5116
✔ PECOS13 mi
General Surgery
NPI 1881652329
9001 DIGGES RD STE 204
Manassas, VA 20110
(703) 257-9234
✔ PECOS✔ Accepts Medicare13 mi
Psychiatry
NPI 1679824239
8680 HOSPITAL WAY
Manassas, VA 20110
(703) 369-8464
✔ PECOS✔ Accepts Medicare13 mi
Anesthesiology
NPI 1457460099
8700 SUDLEY RD
Manassas, VA 20110
(703) 392-6199
✔ PECOS✔ Accepts Medicare13 mi
Pathology
NPI 1427278670
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8484
✔ PECOS✔ Accepts Medicare13 mi
See all 579 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 Nmg Affiliate Practice I, LLC's NPI number?

The NPI number for Nmg Affiliate Practice I, LLC is 1831466440. It was assigned to this organization in the NPPES registry on November 28, 2011. The provider is doing business as Uva Breast Surgery Woodbridge.

Where is Nmg Affiliate Practice I, LLC located?

Nmg Affiliate Practice I, LLC is located at 14010 Smoketown Rd Ste 105, Woodbridge, VA 22192. The listed phone number is (703) 730-4848.

What is Nmg Affiliate Practice I, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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), 579 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 (102), Obstetrics/Gynecology (54) and Anesthesiology (51). Of these, 8 practice 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 September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.