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BROADLANDS FAMILY PRACTICE
NPI 1184748360
Family Medicine in Ashburn, VA

Active since March 16, 2007CLIA 49D1018307 · Microscopy
20905 PROFESSIONAL PLAZA, SUITE 330, ASHBURN, VA 20147(703) 726-0003(703) 726-6444 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broadlands Family Practice NPPES

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

BROADLANDS FAMILY PRACTICE (NPI 1184748360) is a healthcare organization registered as a family medicine in Ashburn, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through March 29, 2028 and lists James P Jenkins, President, as its authorized official.

NPPES Registry Identity

NPI1184748360
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAIRFAX FAMILY PRACTICE CENTERS PC
Location Address20905 PROFESSIONAL PLAZA, SUITE 330Ashburn, VA 20147
Mailing AddressPo Box 791128Baltimore, MD 21279-1128 · (703) 726-0003 · Fax (703) 726-6444
Phone(703) 726-0003
Fax(703) 726-6444
Organization SubpartYes
Authorized OfficialJames P JenkinsPresident · (703) 255-9100
Enumeration DateMarch 16, 2007
Last NPPES UpdateDecember 27, 2007
✔ NPI 1184748360 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.
20905 PROFESSIONAL PLAZA, Ashburn, VA 20147
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Other Names 1

Doing Business AsBroadlands Family Practice

Other Identifiers 1

Medicare PINC06907VA

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 for Provider-Performed Microscopy Procedures (PPMP) 49D1018307

Fairfax Family Practice Centers - Broadlands · Ashburn, VA
Active · expires Mar 29, 2028
CLIA Number49D1018307
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorEmily Faltemier
Laboratory Phone(703) 726-0003
Laboratory LocationFairfax Family Practice Centers - Broadlands20905 Professional Plaza - Suite 330, Ashburn, VA 20147
CLIA data matches this NPI record on: Address Name Phone
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 4

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

DR. MARY R RENARD MD
Family Medicine
20905 PROFESSIONAL PLAZA, SUITE 330
ASHBURN, VA 20147
Loudoun County (703) 726-0003
LISA J SPIELMAN LPC
Counselor (Professional)
20905 PROFESSIONAL PLAZA, SUITE 220
ASHBURN, VA 20147
Loudoun County (703) 858-9841
KRISTIN L FULLER PA-C
Physician Assistant
20905 PROFESSIONAL PLAZA, SUITE 330
ASHBURN, VA 20147
Loudoun County (703) 726-0003
DR. AMY SINHA DO.
Family Medicine
20905 PROFESSIONAL PLAZA, SUITE 330
ASHBURN, VA 20147
Loudoun County (703) 726-0003

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 Fairfax Family Practice Centers PC's NPI number?

The NPI number for Fairfax Family Practice Centers PC is 1184748360. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is doing business as Broadlands Family Practice.

Where is Fairfax Family Practice Centers PC located?

Fairfax Family Practice Centers PC is located at 20905 Professional Plaza Suite 330, Ashburn, VA 20147. The listed phone number is (703) 726-0003.

What is Fairfax Family Practice Centers PC's specialty?

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

Does Fairfax Family Practice Centers PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D1018307) is associated with this NPI, valid through March 29, 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 Fairfax Family Practice Centers PC was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.