FAIRFAX FAMILY PRACTICE CENTERS PC NPI 1205944964

NPI Information

  • NPI: 1205944964
  • Provider Name: FAIRFAX FAMILY PRACTICE CENTERS PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 49D0222068
  • Address: 381 ELDEN ST STE 1000
    HERNDON, VA
    ZIP 20170
  • Phone: (703) 481-1501

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NPI Details

FAIRFAX FAMILY PRACTICE CENTERS PC is a family medicine in Herndon, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAIRFAX FAMILY PRACTICE CENTERS PC NPI is 1205944964. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

381 ELDEN ST STE 1000
HERNDON, VA
ZIP 20170-842
Phone: (703) 481-1501
Fax: (703) 742-8793

The provider's authorized official is David W Lee .
The authorized official title is President and has the following contact phone number (703) 424-6338.

The CLIA number assigned to this NPI record is 49D0222068 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/25/2006 and was last updated on 12/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2261QP2000XClinic/CenterPhysical TherapyNo
3363LF0000XNurse PractitionerFamilyNo
4363A00000XPhysician AssistantNo
5207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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