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

Sentara Medical Group

Organization Family Medicine Physician · NPI 1346601309

Sentara Medical Group is a Family Medicine Physician in Lake Ridge, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
Specialties on file
3

Practice location Address checks out

12825 Minnieville Rd Ste 202
Lake Ridge, VA 22192-3601
Phone: (703) 780-2800
Fax: (844) 700-6186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (VA)
Internal Medicine Physician Taxonomy 207R00000X (VA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (VA)

Record details

NPI number1346601309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Taylo — Manager · (757) 252-2765
Other names Sentara Family & Internal Medicine Physicians
NPI enumeratedMarch 17, 2016
Last updated in NPPESAugust 25, 2016
Mailing address12825 Minnieville Rd, Ste 202, Lake Ridge, VA 22192-3601

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