KONNAROCK FAMILY HEALTH CENTER
NPI 1225150824
Clinic/Center - Federally Qualified Health Center (FQHC) in Damascus, VA
About Konnarock Family Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KONNAROCK FAMILY HEALTH CENTER (NPI 1225150824) is a healthcare organization registered as a federally qualified health center (fqhc) in Damascus, Virginia and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through September 22, 2028 and lists Malcom Perdue, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Konnarock Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Konnarock Family Health Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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) 49D0998480
Konnarock Family Health Center · Damascus, VAFrequently 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 St Charles Health Council Inc's NPI number?
The NPI number for St Charles Health Council Inc is 1225150824. It was assigned to this organization in the NPPES registry on April 4, 2007. The provider is doing business as Konnarock Family Health Center.
Where is St Charles Health Council Inc located?
St Charles Health Council Inc is located at 20471 Azen Rd, Damascus, VA 24236. The listed phone number is (276) 388-3411.
What is St Charles Health Council Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is St Charles Health Council Inc enrolled in Medicare?
Yes. St Charles Health Council Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Charles Health Council Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 5 Medicare specialties reassign their Medicare billing to St Charles Health Council Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (5) and Internal Medicine (4). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Charles Health Council Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0998480) is associated with this NPI, valid through September 22, 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 St Charles Health Council Inc was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Konnarock Family Health Center · NPI 1225150824
Federally Qualified Health Center (FQHC) organization in Damascus, Virginia. Organization record, active in the CMS NPPES registry since April 4, 2007.
## Identity
- **NPI:** 1225150824 (Entity type: Organization)
- **Enumerated:** April 4, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** St Charles Health Council Inc
- **Organization subpart:** No
- **Authorized official:** Malcom Perdue, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 20471 AZEN RD, Damascus, VA 24236-4141
- **Phone:** (276) 388-3411 · **Fax:** (276) 388-3732
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (5), Internal Medicine (4); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1225150824/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2021
- **Other identifiers:** Medicaid 007604092 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225150824) · Data from the CMS NPPES public registry.