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

Loudoun Medical Group, PC

Organization Family Medicine Physician · NPI 1962369959

Loudoun Medical Group, PC is a Family Medicine Physician in Fairfax, Virginia. Registered with an NPI since 2026.

In the registry since
2026
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

3700 Joseph Siewick Dr Ste 106
Fairfax, VA 22033-1737
Phone: (571) 724-4400
Show map & directions

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 number1962369959
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
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704

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