GENERATIONS FAMILY PRACTICE
NPI 1124239470
Family Medicine in Reston, VA

Q: What is Generations Family Medicine PC's NPI number?

The NPI number for Generations Family Medicine PC is 1124239470. It was assigned to this organization in the NPPES registry on May 25, 2007. The provider is doing business as Generations Family Practice.

Q: What is Generations Family Medicine PC's specialty?

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

Active since May 25, 2007

12040 S LAKES DR, STE 190, RESTON, VA 20191(703) 464-0686(703) 464-0698 Get Directions Write a Review

NPPES record last updated: January 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Generations Family Practice NPPES

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

GENERATIONS FAMILY PRACTICE (NPI 1124239470) is a healthcare organization registered as a family medicine in Reston, Virginia and active in the NPI registry since May 2007. The organization lists Kevin John Kelleher, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1124239470

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGENERATIONS FAMILY MEDICINE PC

Location Address12040 S LAKES DR, STE 190Reston, VA 20191-1246

Mailing Address12040 S Lakes Dr, Suite 207Reston, VA 20191-1246 · (703) 464-0686 · Fax (703) 464-0698

Phone(703) 464-0686

Fax(703) 464-0698

Organization SubpartNo

Authorized OfficialKevin John KelleherMedical Director · (703) 464-0686

Enumeration DateMay 25, 2007

Last NPPES UpdateJanuary 4, 2013

✔ NPI 1124239470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101054571

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.

12040 S LAKES DR, Reston, VA 20191

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Other Names 1

Doing Business AsGenerations Family Practice

Other Identifiers 2

OtherG00463Medicare Group No.

Medicare PING00463

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 12

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

DR. JOHN P MAMANA M.D.

Internal Medicine

12040 S LAKES DR, SUITE 205
RESTON, VA 20191

Fairfax County (703) 230-6990

EHS CORPORATE CARE

Internal Medicine

12040 S LAKES DR, SUITE 205
RESTON, VA 20191

Fairfax County (703) 230-6990

MR. MARK EMANUEL VASILIADIS M.D.

Family Medicine

12040 S LAKES DR, SUITE 195
RESTON, VA 20191

Fairfax County (703) 230-0347

DR. KEVIN J KELLEHER MD

Family Medicine

12040 S LAKES DR, STE 207
RESTON, VA 20191

Fairfax County (703) 464-0686

EXECUTIVE HEALTHCARE SERVICES PLLC

Family Medicine

12040 S LAKES DR, SUITE 195
RESTON, VA 20191

Fairfax County (703) 230-0347

LAURA LISBETH KENNEDY RN, FNP-BC

Nurse Practitioner (Family)

12040 S LAKES DR
RESTON, VA 20191

Fairfax County (703) 464-0686

DEANNA LYNN MARKLEY PA

Physician Assistant (Medical)

12040 S LAKES DR, SUITE 207
RESTON, VA 20191

Fairfax County (703) 464-0686

ARAMESH DARVISHIAN DDS

Dentist

12040 S LAKES DR, SUITE 200
RESTON, VA 20191

Fairfax County (703) 955-4440

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 Generations Family Medicine PC's NPI number?

The NPI number for Generations Family Medicine PC is 1124239470. It was assigned to this organization in the NPPES registry on May 25, 2007. The provider is doing business as Generations Family Practice.

Where is Generations Family Medicine PC located?

Generations Family Medicine PC is located at 12040 S Lakes Dr Ste 190, Reston, VA 20191. The listed phone number is (703) 464-0686.

What is Generations Family Medicine PC'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 Generations Family Medicine PC was last updated on January 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.