OrganizationActive
Nmg Affiliate Practice I, LLC
NPI 1669825105 · Obstetrics & Gynecology Physician · Haymarket, VA
Provider details
- NPI number
- 1669825105
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoffrey Gardner, Vp of Finance(704) 384-7680
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
15195 Heathcote Blvd
Suite 338
Haymarket, VA 20169-6242
Phone: (571) 261-3270
Street-level locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Uva Health System Lake Manassas Obgyn
Registry dates
- Enumerated
- 2016-07-20
- Last updated
- 2016-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.