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

Great Falls Geriatric Medicine, LLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1164019162

Great Falls Geriatric Medicine, LLC provides Geriatric Medicine (Internal Medicine) Physician services in Great Falls, Virginia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10017 Park Royal Dr
Great Falls, VA 22066-1847
Phone: (703) 947-7377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1164019162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Martin — Physician · (703) 947-7377
NPI enumeratedDecember 23, 2020
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing addressPo Box 440, Great Falls, VA 22066-0440

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