FAIRFAX FAMILY PRACTICE CENTERS P.C. NPI 1710060330

NPI Information

  • NPI: 1710060330
  • Provider Name: FAIRFAX FAMILY PRACTICE CENTERS, P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: FAMILY MEDICINE OF CLIFTON-CENTREVILLE
  • CLIA Number: 49D0221701
  • Address: 6201 CENTREVILLE RD STE 100
    CENTREVILLE, VA
    ZIP 20121
  • Phone: (703) 263-9600

Map and Directions

Get Directions

NPI Details

FAIRFAX FAMILY PRACTICE CENTERS, P.C. is a family medicine in Centreville, 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, P.C. NPI is 1710060330. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medicine Of Clifton-centreville.

The provider's business location address is:

6201 CENTREVILLE RD STE 100
CENTREVILLE, VA
ZIP 20121-626
Phone: (703) 263-9600
Fax: (703) 266-1452

The provider's authorized official is James P. Jenkins .
The authorized official title is President and has the following contact phone number (703) 391-2030.

The CLIA number assigned to this NPI record is 49D0221701 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/24/2006 and was last updated on 2/21/2014.

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
1261QP2300XClinic/CenterPrimary Care0631926VIRGINIANo
2207Q00000XFamily 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
15619050MEDICAIDVIRGINIA
21205944964OTHERVIRGINIANPI
31699771394OTHERVIRGINIANPI
4G00522OTHERVIRGINIAMEDICARE HIGHMARK
5G00532MEDICARE UPINVIRGINIA
65604761MEDICAIDVIRGINIA
7010072409MEDICAIDVIRGINIA
85619181MEDICAIDVIRGINIA
91063418762OTHERVIRGINIANPI
101548266117OTHERVIRGINIANPI
115618916MEDICAIDVIRGINIA
125618959MEDICAIDVIRGINIA
135619076MEDICAIDVIRGINIA
1411664428801OTHERVIRGINIANPI
151245236926OTHERVIRGINIANPI
16CO8267OTHERVIRGINIAVIRGINIA MEDICARE
17CO8267MEDICARE PINVIRGINIA
181487657136OTHERVIRGINIANPI
191790781474OTHERVIRGINIANPI

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI