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

Tina Polley

Individual provider Family Nurse Practitioner · NPI 1548657117

Tina Polley is a Nurse Practitioner in Woodbridge, Virginia. Graduated from Georgetown University School of Medicine in 2014, 12 years ago. Practices with Gastroenterology Associates of Northern Virginia, LLC, a 97-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
12
Trained at
Georgetown University School of Medicine
Licensed in
VA
In the registry since
2015
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Practice location Address checks out

14010 Smoketown Rd Ste 117
Woodbridge, VA 22192-4722
Phone: (703) 580-0181
Fax: (703) 897-8763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024172535 (VA)

Record details

NPI number1548657117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2015
Last updated in NPPESApril 22, 2015
Mailing address14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Gastroenterology Associates Of Northern Virginia, Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Woodbridge