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LEWIS-GALE PHYSICIANS, LLC
NPI 1063484921
Family Medicine in Roanoke, VA

Active since February 06, 2006CLIA 49D0669270 · Waiver
4910 VALLEY VIEW BLVD NW, ROANOKE, VA 24012(540) 265-1607(540) 366-7353 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Lewis-gale Physicians, Llc NPPES

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

LEWIS-GALE PHYSICIANS, LLC (NPI 1063484921) is a healthcare organization registered as a family medicine in Roanoke, Virginia and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Otis Blackwood, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1063484921
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEWIS-GALE PHYSICIANS, LLC
Location Address4910 VALLEY VIEW BLVD NWRoanoke, VA 24012-2040
Mailing Address4910 Valley View Blvd NwRoanoke, VA 24012-2040 · (540) 265-1607 · Fax (540) 366-7353
Phone(540) 265-1607
Fax(540) 366-7353
Organization SubpartNo
Authorized OfficialOtis BlackwoodPractice Administrator · (540) 772-3671
Enumeration DateFebruary 6, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1063484921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101235727
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.
Also ListedDermatologyTaxonomy 207N00000X · License 0101040969 (VA)
Also ListedOphthalmologyTaxonomy 207W00000X · License 0101042126 (VA)
4910 VALLEY VIEW BLVD NW, Roanoke, VA 24012
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Other Names 1

Other NameLewis-gale Family Care - Valley View

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 of Waiver 49D0669270

Lewis Gale Physicians, LLC · Roanoke, VA
Active · expires Feb 4, 2028
CLIA Number49D0669270
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorSamantha L. Smart
Laboratory Phone(540) 265-1607
Laboratory LocationLewis Gale Physicians, LLC4910 Valley View Blvd, Roanoke, VA 24012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

SAMANTHA SMART FNP
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
DR. SERGE E DEPRET-GUILLAUME M.D.
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-4210
HEATHER MICHELLE BALL PA-C
Physician Assistant
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
DR. LARRY PATTON MD
Dermatology
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1604
DR. JOSHUA SCHUYLER SLAKMAN DO
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
DR. JOHN DAUGHERTY M.D.
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
LAVONNE PRUITT FNP
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW, SUITE 310
ROANOKE, VA 24012
Roanoke City (540) 362-0360
DR. KAYLA TREVILLIAN DNP, FNP-C
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 362-0360

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 Lewis-Gale Physicians, LLC's NPI number?

The NPI number for Lewis-Gale Physicians, LLC is 1063484921. It was assigned to this organization in the NPPES registry on February 6, 2006. The provider is also known as Lewis-Gale Family Care - Valley View.

Where is Lewis-Gale Physicians, LLC located?

Lewis-Gale Physicians, LLC is located at 4910 Valley View Blvd NW, Roanoke, VA 24012. The listed phone number is (540) 265-1607.

What is Lewis-Gale Physicians, LLC's specialty?

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

Does Lewis-Gale Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0669270) is associated with this NPI, valid through February 4, 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 Lewis-Gale Physicians, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.