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LIBERTY MOUNTAIN MEDICAL GROUP
NPI 1043602840
Family Medicine in Lynchburg, VA

Active since March 03, 2015CLIA 49D2095600 · Microscopy
2321 WARDS RD, LYNCHBURG, VA 24502(434) 582-2273(434) 582-1363 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Mountain Medical Group NPPES

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

LIBERTY MOUNTAIN MEDICAL GROUP (NPI 1043602840) is a healthcare organization registered as a family medicine in Lynchburg, Virginia and active in the NPI registry since March 2015. The organization holds a CLIA Microscopy certificate valid through May 8, 2027 and lists Karen L Haynes, Staff Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1043602840
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIBERTY MOUNTAIN MEDICAL GROUP
Location Address2321 WARDS RDLynchburg, VA 24502-2101
Mailing Address2321 Wards RdLynchburg, VA 24502-2101 · (434) 582-2273 · Fax (434) 582-1363
Phone(434) 582-2273
Fax(434) 582-1363
Organization SubpartYesParent: Central Virginia Family Physicians, Inc.
Authorized OfficialKaren L HaynesStaff Credentialing Manager · (434) 382-1139
Enumeration DateMarch 3, 2015
Last NPPES UpdateMarch 30, 2016
✔ NPI 1043602840 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.
2321 WARDS RD, Lynchburg, VA 24502
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Other Identifiers 1

Medicare PINC03658VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 for Provider-Performed Microscopy Procedures (PPMP) 49D2095600

Liberty Mountain Medical Group · Lynchburg, VA
Active · expires May 8, 2027
CLIA Number49D2095600
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorRandy G. Litman
Laboratory Phone(434) 528-2273
Laboratory LocationLiberty Mountain Medical Group2321 Wards Road, Lynchburg, VA 24502
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

DR. DAVID FREDERICK KLINK D.O.
Ophthalmology
2321 WARDS RD
LYNCHBURG, VA 24502
Lynchburg City (434) 582-2273
DR. RAENA M. PETTITT D.O.
Family Medicine
2321 WARDS RD
LYNCHBURG, VA 24502
Lynchburg City (434) 582-2273
BENJAMIN FRANCIS FERRY M.D.
Family Medicine (Sports Medicine)
2321 WARDS RD
LYNCHBURG, VA 24502
Lynchburg City (434) 582-2273
SAMANTHA VASSOR NP
Nurse Practitioner (Psychiatric/Mental Health)
2321 WARDS RD
LYNCHBURG, VA 24502
Lynchburg City (434) 582-2273
SIGMUND P SEILER MD
Family Medicine
2321 WARDS RD
LYNCHBURG, VA 24502
Lynchburg City (434) 582-2273
DR. JOY L PALMER DO
Neuromusculoskeletal Medicine & OMM
2321 WARDS RD
LYNCHBURG, VA 24502
Lynchburg City (434) 582-2273
DR. KEITH ALAN METZLER MD
Family Medicine
2321 WARDS RD
LYNCHBURG, VA 24502
Lynchburg City (434) 582-2273
SHARON J KOPIS FNP
Nurse Practitioner (Family)
2321 WARDS RD, LIBERTY MOUNTAIN MEDICAL GROUP
LYNCHBURG, VA 24502
Lynchburg City (434) 582-2273

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 Liberty Mountain Medical Group's NPI number?

The NPI number for Liberty Mountain Medical Group is 1043602840. It was assigned to this organization in the NPPES registry on March 3, 2015.

Where is Liberty Mountain Medical Group located?

Liberty Mountain Medical Group is located at 2321 Wards Rd, Lynchburg, VA 24502. The listed phone number is (434) 582-2273.

What is Liberty Mountain Medical Group's specialty?

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

Does Liberty Mountain Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D2095600) is associated with this NPI, valid through May 8, 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 Liberty Mountain Medical Group was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.