MEDICARE: S&S HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1215860705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S&S HEALTH

Provider Business Mailing Address
First Line	:	13767 DEACONS WAY
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-5883
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14906 RICHMOND HWY
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-4016
Country	:	US
Telephone Number	:	832-488-1701
Fax Number	:

Authorized Official
Title or Position	:	BILLING
Name	:	ROOS BROWN
Credential	:
Telephone Number	:	832-488-1701

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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