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MOUNT VERNON INTERNAL MEDICINE
NPI 1962053306
Internal Medicine in Lorton, VA

Active since September 26, 2019
8988 LORTON STATION BLVD STE 100, LORTON, VA 22079(571) 366-8850 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2020, Feb 24, 2020, Sep 26, 2019 (3 updates tracked since 2019).

About Mount Vernon Internal Medicine NPPES

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

MOUNT VERNON INTERNAL MEDICINE (NPI 1962053306) is a healthcare organization registered as an internal medicine in Lorton, Virginia and active in the NPI registry since September 2019. The organization lists Courtney Ainsworth Ivess, Associate Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1962053306
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address8988 LORTON STATION BLVD STE 100Lorton, VA 22079-4757
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (571) 366-8850
Phone(571) 366-8850
Organization SubpartNo
Authorized OfficialCourtney Ainsworth IvessAssociate Director, Credentialing · (571) 366-8831
Enumeration DateSeptember 26, 2019
Last NPPES UpdateMarch 5, 20203 updates tracked since enumeration
NPPES CertifiedMarch 5, 2020
✔ NPI 1962053306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPodiatristTaxonomy 213E00000X
8988 LORTON STATION BLVD STE 100, Lorton, VA 22079
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Other Names 1

Doing Business AsMount Vernon Internal Medicine

Other Identifiers 1

Other7442750009Dme

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIDGET HALEY SYKES
Nurse Practitioner (Family)
8988 LORTON STATION BLVD STE 100
LORTON, VA 22079
Fairfax County (703) 780-2800

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 Privia Medical Group, LLC's NPI number?

The NPI number for Privia Medical Group, LLC is 1962053306. It was assigned to this organization in the NPPES registry on September 26, 2019. The provider is doing business as Mount Vernon Internal Medicine.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 8988 Lorton Station Blvd Ste 100, Lorton, VA 22079. The listed phone number is (571) 366-8850.

What is Privia Medical Group, 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 Privia Medical Group, LLC was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.