MARSHALL FAMILY MEDICINE LLC
NPI 1023767902
Family Medicine in Marshall, VA

Active since March 20, 2022CLIA 49D2264835 · Waiver
4197 WINCHESTER RD, MARSHALL, VA 20115(703) 657-9612 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marshall Family Medicine Llc NPPES

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

MARSHALL FAMILY MEDICINE LLC (NPI 1023767902) is a healthcare organization registered as a family medicine in Marshall, Virginia and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Thuy Lan Thi Olson, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1023767902
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARSHALL FAMILY MEDICINE LLC
Location Address4197 WINCHESTER RDMarshall, VA 20115-3252
Mailing Address4197c Winchester RdMarshall, VA 20115-3252 · (540) 364-8199 · Fax (540) 360-9889
Organization SubpartNo
Authorized OfficialThuy Lan Thi OlsonPhysician/owner · (540) 364-8199
Enumeration DateMarch 20, 2022
Last NPPES UpdateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
✔ NPI 1023767902 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.
4197 WINCHESTER RD, Marshall, VA 20115

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marshall Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Marshall Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1184600728
4197C WINCHESTER RD
Marshall, VA 20115
(540) 422-5782
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1518182377
4197C WINCHESTER RD
Marshall, VA 20115
(540) 422-5782
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 49D2264835

Marshall Family Medicine · Marshall, VA
Active · expires Jul 19, 2028
CLIA Number49D2264835
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorThuy Lan T. Olson
Laboratory Phone(540) 422-5782
Laboratory LocationMarshall Family Medicine4197C Winchester Rd, Marshall, VA 20115
CLIA data matches this NPI record on: Address Name
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 Marshall Family Medicine LLC's NPI number?

The NPI number for Marshall Family Medicine LLC is 1023767902. It was assigned to this organization in the NPPES registry on March 20, 2022.

Where is Marshall Family Medicine LLC located?

Marshall Family Medicine LLC is located at 4197 Winchester Rd, Marshall, VA 20115. The listed phone number is (703) 657-9612.

What is Marshall Family Medicine LLC's specialty?

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

Is Marshall Family Medicine LLC enrolled in Medicare?

Yes. Marshall Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marshall Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Marshall Family Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Marshall Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2264835) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marshall Family Medicine LLC was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.