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

Great Falls Geriatric Medicine, LLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1164019162

Great Falls Geriatric Medicine, LLC is a Geriatric Medicine (Internal Medicine) Physician in Great Falls, Virginia. Registered with an NPI since 2020.

In the registry since
2020
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

10017 Park Royal Dr
Great Falls, VA 22066-1847
Phone: (703) 947-7377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1164019162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Martin — Physician · (703) 947-7377
NPI enumeratedDecember 23, 2020
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing addressPo Box 440, Great Falls, VA 22066-0440

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