GLADSTONE PC MID ATLANTIC PC
NPI 1972459089
Family Medicine in Fairfax, VA

Q: What is Gladstone PC Mid Atlantic PC's NPI number?

The NPI number for Gladstone PC Mid Atlantic PC is 1972459089. It was assigned to this organization in the NPPES registry on March 10, 2026.

Q: What is Gladstone PC Mid Atlantic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 10, 2026

3025 HAMAKER CT STE 350, FAIRFAX, VA 22031(703) 573-6400(703) 641-5821 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Mar 10, 2026 (2 updates tracked since 2026).

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About Gladstone Pc Mid Atlantic Pc NPPES

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

GLADSTONE PC MID ATLANTIC PC (NPI 1972459089) is a healthcare organization registered as a family medicine in Fairfax, Virginia and active in the NPI registry since March 2026. The organization lists David M Nichols, Owner, as its authorized official.

NPPES Registry Identity

NPI1972459089

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGLADSTONE PC MID ATLANTIC PC

Location Address3025 HAMAKER CT STE 350Fairfax, VA 22031-2243

Mailing Address3025 Hamaker Ct Ste 350Fairfax, VA 22031-2243 · (703) 573-6400 · Fax (703) 641-5821

Phone(703) 573-6400

Fax(703) 641-5821

Organization SubpartNo

Authorized OfficialDavid M NicholsOwner · (703) 573-6400

Enumeration DateMarch 10, 2026

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1972459089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3025 HAMAKER CT STE 350, Fairfax, VA 22031

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gladstone Pc Mid Atlantic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Gladstone PC Mid Atlantic PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Arun Nag Santhosh Mallapareddi

Family Practice

NPI 1780048264

3025 HAMAKER CT STE 350
Fairfax, VA 22031

(703) 573-6400

✔ PECOS✔ Accepts MedicareSame address

Eugene Shmorhun, MD

Family Practice

NPI 1255468526

3025 HAMAKER CT ST 350
Fairfax, VA 22031

(703) 573-6400

✔ PECOS✔ Accepts MedicareSame address

Kavita Tripathi, M.D.

Family Practice

NPI 1285026062

3025 HAMAKER CT STE 350
Fairfax, VA 22031

(703) 573-6400

✔ PECOS✔ Accepts MedicareSame address

Catherine Tong, NP

Nurse Practitioner

NPI 1801192711

3027 JAVIER RD
Fairfax, VA 22031

(703) 573-6400

✔ PECOS✔ Accepts Medicare0.1 mi

David Nichols, MD

Family Practice

NPI 1336762061

1431 NURSERY ST STE 101B
Fogelsville, PA 18051

(484) 273-4370

✔ PECOS✔ Accepts Medicare147 mi

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 Gladstone PC Mid Atlantic PC's NPI number?

The NPI number for Gladstone PC Mid Atlantic PC is 1972459089. It was assigned to this organization in the NPPES registry on March 10, 2026.

Where is Gladstone PC Mid Atlantic PC located?

Gladstone PC Mid Atlantic PC is located at 3025 Hamaker Ct Ste 350, Fairfax, VA 22031. The listed phone number is (703) 573-6400.

What is Gladstone PC Mid Atlantic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gladstone PC Mid Atlantic PC enrolled in Medicare?

Yes. Gladstone PC Mid Atlantic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gladstone PC Mid Atlantic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Gladstone PC Mid Atlantic PC. 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 Family Practice (4) and Nurse Practitioner (1). Of these, 3 practice at this address and 4 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 Gladstone PC Mid Atlantic PC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.