FAIRFAX FAMILY PRACTICE CENTERS PC NPI 1417071697

NPI Information

  • NPI: 1417071697
  • Provider Name: FAIRFAX FAMILY PRACTICE CENTERS PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: TOWN CENTER FAMILY MEDICINE
  • CLIA Number: 49D0912609
  • Address: 12110 SUNSET HILLS ROAD
    LOWER LEVEL 20
    RESTON, VA
    ZIP 20190
  • Phone: (703) 834-1473

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NPI Details

FAIRFAX FAMILY PRACTICE CENTERS PC is a family medicine in Reston, 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 1417071697. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Town Center Family Medicine.

The provider's business location address is:

12110 SUNSET HILLS ROAD
LOWER LEVEL 20
RESTON, VA
ZIP 20190
Phone: (703) 834-1473
Fax: (703) 318-7463

The provider's authorized official is James P Jenkins .
The authorized official title is President and has the following contact phone number (703) 255-9100.

The CLIA number assigned to this NPI record is 49D0912609 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/16/2007 and was last updated on 12/26/2007.

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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G00532MEDICARE PINVIRGINIA

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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