PRIME CARE FAMILY PRACTICE P.C. NPI 1881629384

NPI Information

  • NPI: 1881629384
  • Provider Name: PRIME CARE FAMILY PRACTICE, P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 49D2096506
  • Address: 4700 PUDDLEDOCK ROAD
    SUITE 300
    PRINCE GEORGE, VA
    ZIP 23875
  • Phone: (804) 526-1111

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NPI Details

PRIME CARE FAMILY PRACTICE, P.C. is a family medicine in Prince George, 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. PRIME CARE FAMILY PRACTICE, P.C. NPI is 1881629384. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4700 PUDDLEDOCK ROAD
SUITE 300
PRINCE GEORGE, VA
ZIP 23875-268
Phone: (804) 526-1111
Fax: (804) 526-8363

The provider's authorized official is Deidra F. Mann .
The authorized official title is Practice Manager and has the following contact phone number (804) 526-1111.

The CLIA number assigned to this NPI record is 49D2096506 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 3/3/2025.

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
1207Q00000XFamily 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: 3/30/2025

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