OrganizationActive
Chisovereign PLLC
NPI 1225454291 · Medical Specialty Clinic/Center · Fairfax, VA
Provider details
- NPI number
- 1225454291
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ijeoma Nnamani, Director(703) 505-2476
- License
- 0101246435 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3975 Fair Ridge Dr
Suite 150n
Fairfax, VA 22033-2911
Phone: (703) 246-0011
Fax: (703) 246-0012
Street-level locationGet directions
Mailing address
3975 Fair Ridge Dr
Fairfax, VA 22033-2911
Registry dates
- Enumerated
- 2014-03-13
- Last updated
- 2014-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.