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

Loudoun Medical Group, PC

Organization Family Medicine Physician · NPI 1407354228

Loudoun Medical Group, PC is a Family Medicine Physician in Leesburg, Virginia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

211 Gibson St NW Ste 215
Leesburg, VA 20176-2115
Phone: (571) 707-2085
Fax: (571) 291-9196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1407354228
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6001
Other names Lmg Cornwall Primary Care
NPI enumeratedJanuary 26, 2018
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address224-D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704

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