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

Cleanslate Medical Group of Virginia, LLC

Organization Internal Medicine Physician · NPI 1629549779

Cleanslate Medical Group of Virginia, LLC is an Internal Medicine Physician in Mechanicsville, Virginia. Registered with an NPI since 2018.

In the registry since
2018
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

8220 Meadowbridge Rd Ste 310
Mechanicsville, VA 23116-2340
Phone: (804) 417-0120
Fax: (804) 277-3029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1629549779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Smolarek — Cfo · (412) 999-5188
NPI enumeratedDecember 16, 2018
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024
Mailing address8 Cadillac Dr Ste 180, Brentwood, TN 37027-5393

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