FAMILY MEDICINE OF JEFFERSON CITY, LLC
NPI 1043319957
Family Medicine in Jefferson City, MO

Active since September 21, 2006
1616 SOUTHRIDGE DR, SUITE #203, JEFFERSON CITY, MO 65109(573) 659-7300(573) 636-0555 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Medicine Of Jefferson City, Llc NPPES

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

FAMILY MEDICINE OF JEFFERSON CITY, LLC (NPI 1043319957) is a healthcare organization registered as a family medicine in Jefferson City, Missouri and active in the NPI registry since September 2006. The organization lists Daniel P Lavery, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1043319957
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE OF JEFFERSON CITY, LLC
Location Address1616 SOUTHRIDGE DR, SUITE #203Jefferson City, MO 65109-5677
Mailing Address1616 Southridge Dr, Suite #203Jefferson City, MO 65109-5677 · (573) 659-7300 · Fax (573) 636-0555
Fax(573) 636-0555
Organization SubpartNo
Authorized OfficialDaniel P LaveryOwner/president · (573) 659-7300
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1043319957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · R9J28
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.

1616 SOUTHRIDGE DR, Jefferson City, MO 65109

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 6

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1616 SOUTHRIDGE DR, STE 202
JEFFERSON CITY, MO 65109
Family Medicine
1616 SOUTHRIDGE DR, SUITE #203
JEFFERSON CITY, MO 65109
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1616 SOUTHRIDGE DR, STE 202
JEFFERSON CITY, MO 65109
Clinic/Center
1616 SOUTHRIDGE DR, SUITE 203
JEFFERSON CITY, MO 65109
Registered Nurse (Medical-Surgical)
1616 SOUTHRIDGE DR, STE 202
JEFFERSON CITY, MO 65109
Orthopaedic Surgery
1616 SOUTHRIDGE DR, SUITE 202
JEFFERSON CITY, MO 65109

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 Family Medicine Of Jefferson City, LLC's NPI number?

The NPI number for Family Medicine Of Jefferson City, LLC is 1043319957. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Family Medicine Of Jefferson City, LLC located?

Family Medicine Of Jefferson City, LLC is located at 1616 Southridge Dr Suite #203, Jefferson City, MO 65109. The listed phone number is (573) 659-7300.

What is Family Medicine Of Jefferson City, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Family Medicine Of Jefferson City, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.