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VIENNA FAMILY MEDICINE
NPI 1013032283
Family Medicine in Vienna, VA

Active since March 20, 2007CLIA 49D0665151 · Waiver
115 PARK STREET, SUITE 300, VIENNA, VA 22180(703) 255-9100(703) 255-3457 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vienna Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIENNA FAMILY MEDICINE (NPI 1013032283) is a healthcare organization registered as a family medicine in Vienna, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists James P Jenkins, President, as its authorized official.

NPPES Registry Identity

NPI1013032283
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAIRFAX FAMILY PRACTICE CENTERS PC
Location Address115 PARK STREET, SUITE 300Vienna, VA 22180
Mailing AddressPo Box 791128Baltimore, MD 21279-1128 · (703) 255-9100 · Fax (703) 255-3457
Phone(703) 255-9100
Fax(703) 255-3457
Organization SubpartYes
Authorized OfficialJames P JenkinsPresident · (703) 255-9100
Enumeration DateMarch 20, 2007
Last NPPES UpdateDecember 26, 2007
✔ NPI 1013032283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
115 PARK STREET, Vienna, VA 22180
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Other Names 1

Doing Business AsVienna Family Medicine

Other Identifiers 1

Medicare PING00532VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0665151

Vienna Family Medicine · Vienna, VA
Active · expires Dec 30, 2027
CLIA Number49D0665151
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorEmily Faltemier
Laboratory Phone(703) 255-9100
Laboratory LocationVienna Family Medicine115 Park St, SE Suite 300, Vienna, VA 22180
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairfax Family Practice Centers PC's NPI number?

The NPI number for Fairfax Family Practice Centers PC is 1013032283. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Vienna Family Medicine.

Where is Fairfax Family Practice Centers PC located?

Fairfax Family Practice Centers PC is located at 115 Park Street Suite 300, Vienna, VA 22180. The listed phone number is (703) 255-9100.

What is Fairfax Family Practice Centers PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Fairfax Family Practice Centers PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0665151) is associated with this NPI, valid through December 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairfax Family Practice Centers PC was last updated on December 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.