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STEPHENS CITY FAMILY MEDICINE LLC
NPI 1306995717
Family Medicine in Stephens City, VA

Active since January 09, 2007CLIA 49D1043492 · Waiver
160 WARRIOR DR, STEPHENS CITY, VA 22655(540) 868-4100(540) 868-0888 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephens City Family Medicine Llc NPPES

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

STEPHENS CITY FAMILY MEDICINE LLC (NPI 1306995717) is a healthcare organization registered as a family medicine in Stephens City, Virginia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Monica Hott, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306995717
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTEPHENS CITY FAMILY MEDICINE LLC
Location Address160 WARRIOR DRStephens City, VA 22655-4044
Mailing Address160 Warrior DrStephens City, VA 22655-4044 · (540) 868-4100 · Fax (540) 868-0888
Phone(540) 868-4100
Fax(540) 868-0888
Organization SubpartNo
Authorized OfficialMonica HottOffice Manager · (540) 868-4100
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1306995717 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 · 0101233394
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.
160 WARRIOR DR, Stephens City, VA 22655
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Other Identifiers 4

Medicaid1306995717VA
Other129363VA · Community Health
Other137797VA · Anthem
Other7650702VA · Aetna

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephens City Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Stephens City Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Joel Grant, M.D.
Family Practice
NPI 1851360010
160 WARRIOR DR
Stephens City, VA 22655
(540) 868-4100
✔ PECOS✔ Accepts MedicareSame address
Rileigh Mcclure
Nurse Practitioner
NPI 1790625218
160 WARRIOR DR
Stephens City, VA 22655
(540) 868-4100
✔ PECOSSame address
Jordan Pacilla, NP-C
Nurse Practitioner
NPI 1225676174
160 WARRIOR DR
Stephens City, VA 22655
(540) 868-4100
✔ PECOS✔ Accepts MedicareSame address
Kali Tichenor, NP
Nurse Practitioner
NPI 1659852283
160 WARRIOR DR
Stephens City, VA 22655
(540) 868-4100
✔ PECOS✔ Accepts MedicareSame address
Christopher Craig, D.O.
Family Practice
NPI 1265583314
160 WARRIOR DR
Stephens City, VA 22655
(540) 868-4100
✔ PECOS✔ Accepts MedicareSame address
Jennifer Carter, MD
Family Practice
NPI 1427264639
160 WARRIOR DR
Stephens City, VA 22655
(540) 868-4100
✔ PECOS✔ Accepts MedicareSame address

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 49D1043492

Stephens City Family Medicine, LLC · Stephens City, VA
Active · expires Jul 25, 2027
CLIA Number49D1043492
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorJoel Grant
Laboratory Phone(540) 868-4100
Laboratory LocationStephens City Family Medicine, LLC160 Warrior Drive, Stephens City, VA 22655
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Stephens City Family Medicine LLC's NPI number?

The NPI number for Stephens City Family Medicine LLC is 1306995717. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Stephens City Family Medicine LLC located?

Stephens City Family Medicine LLC is located at 160 Warrior Dr, Stephens City, VA 22655. The listed phone number is (540) 868-4100.

What is Stephens City Family Medicine LLC's specialty?

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

Is Stephens City Family Medicine LLC enrolled in Medicare?

Yes. Stephens City Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephens City Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Stephens City Family Medicine 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. The largest specialties are Family Practice (3) and Nurse Practitioner (3). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Stephens City Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1043492) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stephens City Family Medicine LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.