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 1639935364

Loudoun Medical Group, PC is a Family Medicine Physician in McLean, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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

1313 Dolley Madison Blvd Ste 104
McLean, VA 22101-3926
Phone: (703) 783-5673
Fax: (703) 297-3919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1639935364
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Physicians Premiere Weight And Wellness Center; Physicians Premiere Weight And Wellness Center
NPI enumeratedFebruary 21, 2024
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address224 D Cornwall Street Nw, Ste 403, Leesburg, VA 20176-2704

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