FAIRFAX FAMILY PRACTICE CENTERS PC NPI 1588788764

NPI Information

  • NPI: 1588788764
  • Provider Name: FAIRFAX FAMILY PRACTICE CENTERS PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PRINCE WILLIAM FAMILY MEDICINE GAINESVILLE
  • Address: 8078 CRESCENT PARK DRIVE
    SUITE 201
    GAINESVILLE, VA
    ZIP 20155
  • Phone: (703) 257-8090

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NPI Details

FAIRFAX FAMILY PRACTICE CENTERS PC is a family medicine in Gainesville, 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 1588788764. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prince William Family Medicine Gainesville.

The provider's business location address is:

8078 CRESCENT PARK DRIVE
SUITE 201
GAINESVILLE, VA
ZIP 20155
Phone: (703) 257-8090
Fax: (703) 257-7822

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 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
1C06907MEDICARE 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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