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FANCY GAP INTERNAL MEDICINE
NPI 1043049828
Nurse Practitioner in Fancy Gap, VA

Active since July 30, 2024
1661 TURNER SPUR RD, FANCY GAP, VA 24328(276) 728-0735(866) 464-0644 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fancy Gap Internal Medicine NPPES

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

FANCY GAP INTERNAL MEDICINE (NPI 1043049828), doing business as Susan Tracy Roberts, is a healthcare organization registered as a nurse practitioner in Fancy Gap, Virginia and active in the NPI registry since July 2024. The organization lists Susan Tracy Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1043049828
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFANCY GAP INTERNAL MEDICINE
Location Address1661 TURNER SPUR RDFancy Gap, VA 24328-4365
Mailing Address1661 Turner Spur RdFancy Gap, VA 24328-4365 · (276) 728-0735 · Fax (866) 464-0644
Phone(276) 728-0735
Fax(866) 464-0644
Organization SubpartNo
Authorized OfficialSusan Tracy RobertsOwner · (276) 728-0735
Enumeration DateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1043049828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1661 TURNER SPUR RD, Fancy Gap, VA 24328
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Other Names 1

Doing Business AsSusan Tracy Roberts

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN WILLIAM TRACY MD
Family Medicine
1661 TURNER SPUR RD
FANCY GAP, VA 24328
Carroll County (276) 728-7212
FANCY GAP INTERNAL MEDICINE
Internal Medicine
1661 TURNER SPUR RD
FANCY GAP, VA 24328
Carroll County (276) 728-0735
MRS. SUSAN TRACY ROBERTS NP-C
Nurse Practitioner
1661 TURNER SPUR RD
FANCY GAP, VA 24328
Carroll County (276) 728-0735

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 Fancy Gap Internal Medicine's NPI number?

The NPI number for Fancy Gap Internal Medicine is 1043049828. It was assigned to this organization in the NPPES registry on July 30, 2024. The provider is doing business as Susan Tracy Roberts.

Where is Fancy Gap Internal Medicine located?

Fancy Gap Internal Medicine is located at 1661 Turner Spur Rd, Fancy Gap, VA 24328. The listed phone number is (276) 728-0735.

What is Fancy Gap Internal Medicine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Fancy Gap Internal Medicine was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.