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

Nino Gelenidze, MD

Individual provider Family Medicine Physician · NPI 1164862868

Nino Gelenidze, MD is a Family Practice in Fairfax, Virginia. Qualified in 2004, 22 years ago. Practices with Patient First Richmond Medical Group PLLC, a 320-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
22
Licensed in
VA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10100 Fairfax Blvd
Fairfax, VA 22030-2000
Phone: (703) 679-1876
Fax: (703) 679-1877
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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 · Licence 0101260116 (VA)

Record details

NPI number1164862868
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2013
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Patient First Richmond Medical Group Pllc — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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