RIDGELINE PHYSICIAN SERVICES PLC NPI 1952627119

NPI Information

  • NPI: 1952627119
  • Provider Name: RIDGELINE PHYSICIAN SERVICES, PLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: WELLSPRING SPECIALTY CLINIC
  • CLIA Number: 49D2156277
  • Address: 891 WILLIS LN
    CULPEPER, VA
    ZIP 22701
  • Phone: (540) 825-4557

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NPI Details

RIDGELINE PHYSICIAN SERVICES, PLC is a family medicine in Culpeper, 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. RIDGELINE PHYSICIAN SERVICES, PLC NPI is 1952627119. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspring Specialty Clinic.

The provider's business location address is:

891 WILLIS LN
CULPEPER, VA
ZIP 22701-373
Phone: (540) 825-4557

The provider's authorized official is Charity Wolf .
The authorized official title is Director and has the following contact phone number (540) 718-0861.

The CLIA number assigned to this NPI record is 49D2156277 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2010 and was last updated on 6/14/2024.

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
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3207Q00000XFamily MedicineYes
4207QA0000XFamily MedicineAdolescent MedicineNo
5207QG0300XFamily MedicineGeriatric MedicineNo
6207V00000XObstetrics & GynecologyNo
7207Y00000XOtolaryngologyNo
8207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckNo
9207YX0602XOtolaryngologyOtolaryngic AllergyNo
10208000000XPediatricsNo
112084N0400XPsychiatry & NeurologyNeurologyNo
12208VP0000XPain MedicinePain MedicineNo
13208VP0014XPain MedicineInterventional Pain MedicineNo
14261QM1300XClinic/CenterMulti-SpecialtyNo
15261QP1100XClinic/CenterPodiatricNo

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
11952627119MEDICAIDVIRGINIA

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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