SKYLINE FAMILY PRACTICE PC
NPI 1104900513
Family Medicine in Front Royal, VA

Q: What is Skyline Family Practice PC's NPI number?

The NPI number for Skyline Family Practice PC is 1104900513. It was assigned to this organization in the NPPES registry on October 24, 2006.

Q: What is Skyline Family Practice PC's specialty?

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

Active since October 24, 2006CLIA 49D0882042 · Waiver

841 N SHENANDOAH AVE, FRONT ROYAL, VA 22630(540) 636-7000(540) 636-7029 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Skyline Family Practice Pc NPPES

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

SKYLINE FAMILY PRACTICE PC (NPI 1104900513) is a healthcare organization registered as a family medicine in Front Royal, Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Patsy Ann Clark, Front Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104900513

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSKYLINE FAMILY PRACTICE PC

Location Address841 N SHENANDOAH AVEFront Royal, VA 22630-3501

Mailing Address841 N Shenandoah AveFront Royal, VA 22630-3501 · (540) 636-7000 · Fax (540) 636-7029

Phone(540) 636-7000

Fax(540) 636-7029

Organization SubpartNo

Authorized OfficialPatsy Ann ClarkFront Office Manager · (540) 636-7000

Enumeration DateOctober 24, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104900513 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.

841 N SHENANDOAH AVE, Front Royal, VA 22630

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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

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 49D0882042

Skyline Medical Practice, LLC · Front Royal, VA

Active · expires Aug 18, 2027

CLIA Number49D0882042

Laboratory TypePhysician Office

Certificate Effective DateAugust 19, 2025

Certificate Expiration DateAugust 18, 2027

Laboratory DirectorDawnya R. Finerfrock

Laboratory Phone(540) 636-7000

Laboratory LocationSkyline Medical Practice, LLC841 N Shenandoah Ave #3, Front Royal, VA 22630

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

WILLIAM DUNCAN HEARNE JR. DDS

Dentist (General Practice)