Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chantilly Wellness Group, LLC

Organization Obstetrics & Gynecology Physician · NPI 1992541890

Chantilly Wellness Group, LLC is an Obstetrics & Gynecology Physician in Chantilly, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4200A Technology Ct
Chantilly, VA 20151-1214
Phone: (540) 709-1737
Fax: (866) 611-3615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1992541890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Derocco — Secretary · (620) 504-2434
NPI enumeratedJuly 1, 2024
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address4200a Technology Ct, Chantilly, VA 20151-1214

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