NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OB/GYN
NPI 1922449263
Obstetrics & Gynecology in South Riding, VA

Active since July 16, 2013
25055 RIDING PLZ, SUITE 230, SOUTH RIDING, VA 20152(703) 361-3551(703) 365-7702 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Novant Health Uva Health System Lake Manassas Ob/gyn NPPES

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

NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OB/GYN (NPI 1922449263) is a healthcare organization registered as an obstetrics & gynecology in South Riding, Virginia and active in the NPI registry since July 2013. The organization lists Geoffrey K Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1922449263
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNMG AFFILIATE PRACTICE I, LLC
Location Address25055 RIDING PLZ, SUITE 230South Riding, VA 20152-5917
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (703) 361-3551 · Fax (703) 365-7702
Fax(703) 365-7702
Organization SubpartNo
Authorized OfficialGeoffrey K GardnerVp Of Finance · (571) 261-3529
Enumeration DateJuly 16, 2013
Last NPPES UpdateApril 6, 2016
✔ NPI 1922449263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
25055 RIDING PLZ, South Riding, VA 20152

Other Names 1

Doing Business AsNovant Health Uva Health System Lake Manassas Ob/gyn

Other Identifiers 2

Medicaid1922449263VA
Medicare UPINVAA110009VA

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)

Novant Health Uva Health System Lake Manassas Ob/gyn 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

580

Medicare enrollment records show 580 clinicians reassign Medicare billing to Novant Health Uva Health System Lake Manassas Ob/Gyn, which bills Medicare for the services they deliver. Of these, 42 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 37

Nurse Practitioner103
Obstetrics/Gynecology54
Anesthesiology51
Psychiatry51
Family Practice49
Hospitalist44
Internal Medicine29
Neurology28
29 other specialties171

Nearest to this location (20)

See all 580
Nurse Practitioner
NPI 1609195338
24984 GLASGOW HEIGHTS TER
Chantilly, VA 20152
(571) 358-7703
✔ PECOS✔ Accepts Medicare0.3 mi
Psychiatry
NPI 1194956193
4229 LAFAYETTE CENTER DR STE 1000
Chantilly, VA 20151
(703) 327-8198
✔ PECOS✔ Accepts Medicare2.8 mi
Obstetrics/Gynecology
NPI 1447612700
13890 BRADDOCK ROAD STE 201
Centreville, VA 20121
(703) 988-8828
✔ PECOS✔ Accepts Medicare7.9 mi
Infectious Disease
NPI 1821045501
13890 BRADDOCK RD STE 206
Centreville, VA 20121
(703) 758-2664
✔ PECOS✔ Accepts Medicare7.9 mi
Family Practice
NPI 1568824829
6208 MULTIPLEX DR STE 150
Centreville, VA 20121
(571) 833-7912
✔ PECOS✔ Accepts Medicare7.9 mi
Internal Medicine
NPI 1679102792
6208 MULTIPLEX DR STE 150
Centreville, VA 20121
(571) 833-7911
✔ PECOS✔ Accepts Medicare7.9 mi
Obstetrics/Gynecology
NPI 1467806422
3620 JOSEPH SIEWICK DR STE 307
Fairfax, VA 22033
(703) 391-3180
✔ PECOS✔ Accepts Medicare8.1 mi
Gastroenterology
NPI 1023038270
3700 JOSEPH SIEWICK DR SUITE 401
Fairfax, VA 22033
(703) 281-1023
✔ PECOS✔ Accepts Medicare8.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1407502560
3600 JOSEPH SIEWICK DR
Fairfax, VA 22033
(703) 391-3351
✔ Accepts Medicare8.1 mi
Internal Medicine
NPI 1013942341
3600 JOSEPH SIEWICK DR
Fairfax, VA 22033
(703) 391-3600
✔ PECOS✔ Accepts Medicare8.1 mi
Nurse Practitioner
NPI 1962762237
10432 BALLS FORD RD
Manassas, VA 20109
(571) 229-8708
✔ PECOS✔ Accepts Medicare8.5 mi
Psychiatry
NPI 1053449389
1800 TOWN CENTER DR STE 420
Reston, VA 20190
(703) 574-6311
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1376243022
13575 HEATHCOTE BLVD STE 210
Gainesville, VA 20155
(571) 248-4620
✔ PECOS✔ Accepts Medicare9.4 mi
Family Practice
NPI 1639400963
15195 HEATHCOTE BLVD STE 140
Haymarket, VA 20169
(571) 284-4370
✔ PECOS✔ Accepts Medicare9.6 mi
General Surgery
NPI 1649617101
15195 HEATHCOTE BLVD STE 330
Haymarket, VA 20169
(571) 284-3110
✔ PECOS✔ Accepts Medicare9.6 mi
General Practice
NPI 1679899439
15195 HEATHCOTE BLVD STE 350
Haymarket, VA 20169
(571) 284-3380
✔ PECOS✔ Accepts Medicare9.6 mi
Anesthesiology
NPI 1184886806
46090 LAKE CENTER PLAZA SUITE 102
Sterling, VA 20165
(703) 719-8583
✔ PECOS✔ Accepts Medicare9.8 mi
Interventional Radiology
NPI 1114907631
14540 JOHN MARSHALL HWY STE 104
Gainesville, VA 20155
(703) 712-6062
✔ PECOS✔ Accepts Medicare9.8 mi
Diagnostic Radiology
NPI 1508820499
14540 JOHN MARSHALL HWY STE 104
Gainesville, VA 20155
(703) 712-6062
✔ PECOS✔ Accepts Medicare9.8 mi
Podiatry
NPI 1659531150
15100 WASHINGTON ST STE 203
Haymarket, VA 20169
(540) 274-3205
✔ PECOS✔ Accepts Medicare9.9 mi
See all 580 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 1922449263. It was assigned to this organization in the NPPES registry on July 16, 2013. The provider is doing business as Novant Health Uva Health System Lake Manassas Ob/Gyn.

Where is Nmg Affiliate Practice I, LLC located?

Nmg Affiliate Practice I, LLC is located at 25055 Riding Plz Suite 230, South Riding, VA 20152. The listed phone number is (703) 361-3551.

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, 42 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 April 6, 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.