PINNACLE FAMILY PRACTICE, LLC
NPI 1255751228
Clinic/Center - Primary Care in Fairfax, VA
About Pinnacle Family Practice, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINNACLE FAMILY PRACTICE, LLC (NPI 1255751228) is a healthcare organization registered as a primary care in Fairfax, Virginia and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Vanessa Billstone Peyton, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pinnacle Family Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pinnacle Family Practice, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Fairfax, VA 22033
Source: 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 of Waiver 49D2077713
Pinnacle Family Practice, LLC · Fairfax, 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 Pinnacle Family Practice, LLC's NPI number?
The NPI number for Pinnacle Family Practice, LLC is 1255751228. It was assigned to this organization in the NPPES registry on April 17, 2014.
Where is Pinnacle Family Practice, LLC located?
Pinnacle Family Practice, LLC is located at 13135 Lee Jackson Memorial Hwy Ste 202, Fairfax, VA 22033. The listed phone number is (703) 965-3168.
What is Pinnacle Family Practice, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Pinnacle Family Practice, LLC enrolled in Medicare?
Yes. Pinnacle Family Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pinnacle Family Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Pinnacle Family Practice, LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pinnacle Family Practice, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2077713) is associated with this NPI, valid through May 12, 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 Pinnacle Family Practice, LLC was last updated on April 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Pinnacle Family Practice, Llc · NPI 1255751228
Primary Care organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since April 17, 2014.
## Identity
- **NPI:** 1255751228 (Entity type: Organization)
- **Enumerated:** April 17, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Vanessa Peyton, PHYSICIAN OWNER
## Practice location
- **Address:** 13135 LEE JACKSON MEMORIAL HWY STE 202, Fairfax, VA 22033-1907
- **Phone:** (703) 965-3168 · **Fax:** (703) 000-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255751228) · Data from the CMS NPPES public registry.