Provider Demographics
NPI:1861378333
Name:GOHEALTH MEDICAL PC
Entity type:Organization
Organization Name:GOHEALTH MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:EMELITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:631-742-6996
Mailing Address - Street 1:2209 LONG DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23146-2017
Mailing Address - Country:US
Mailing Address - Phone:631-742-6996
Mailing Address - Fax:804-207-8728
Practice Address - Street 1:3900 WESTERRE PARKWAY
Practice Address - Street 2:SUITE 300 #0693
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233
Practice Address - Country:US
Practice Address - Phone:804-460-9072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty