Provider Demographics
NPI:1598768400
Name:ABRAMS, JEFFREY R (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:R
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25134 FORTITUDE TER
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-6052
Mailing Address - Country:US
Mailing Address - Phone:540-229-5549
Mailing Address - Fax:540-347-4506
Practice Address - Street 1:493 BLACKWELL RD STE 101A
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2628
Practice Address - Country:US
Practice Address - Phone:540-316-4325
Practice Address - Fax:540-316-4331
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052373207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5188890001OtherCIGNA
VA41950004OtherCAREFIRST
VA6043429Medicaid
VA6043429OtherVIRGINIA PREMIER
VA144883OtherSOUTHERN HEALTH
VA20363OtherUNICARE
VA200586OtherANTHEM WARRENTON
VA436912OtherANTHEM CULPEPER
VA503298OtherNCPPO
VA0005307073OtherAETNA
VA1620346OtherFIRST HEALTH
VA299001OtherMAMSI
VA44339OtherSENTARA
VA20363OtherUNICARE
VA6043429Medicaid