OrganizationActive
Nmg Affiliate Practice I, LLC
NPI 1205103819 · Surgery Physician · Manassas, VA
Nmg Affiliate Practice I, LLC is a Surgery Physician organization in Manassas, VA (NPI 1205103819).
Provider details
- NPI number
- 1205103819
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shala Davis, Rcs Manager(704) 303-7517
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9001 Digges Rd
Suite 204
Manassas, VA 20110-4421
Phone: (703) 257-9234
Fax: (703) 257-1560
Street-level locationGet directions
Mailing address
Po Box 936952
Atlanta, GA 31193-6952
Other names (DBA / former)
- Doing business as
- Uva Bariatric Surgery Manassas
Registry dates
- Enumerated
- 2011-11-28
- Last updated
- 2021-09-14
- Certified
- 2021-09-14
Frequently asked questions
- What is Nmg Affiliate Practice I, LLC's NPI number?
- Nmg Affiliate Practice I, LLC's National Provider Identifier (NPI) is 1205103819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nmg Affiliate Practice I, LLC?
- Nmg Affiliate Practice I, LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Nmg Affiliate Practice I, LLC located?
- Nmg Affiliate Practice I, LLC's practice location on file with NPPES is 9001 Digges Rd, Manassas, VA 20110-4421.
- What is Nmg Affiliate Practice I, LLC's phone number?
- The practice phone number listed in the NPPES registry for Nmg Affiliate Practice I, LLC is (703) 257-9234.
- Who is the authorized official for Nmg Affiliate Practice I, LLC?
- The authorized official listed on Nmg Affiliate Practice I, LLC's NPPES record is Shala Davis, Rcs Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nmg Affiliate Practice I, LLC's NPI active?
- Yes — Nmg Affiliate Practice I, LLC's NPI (1205103819) is active in the NPPES registry as of the last update on 2021-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.