HERNDON FAMILY MEDICINE
NPI 1316062581
Family Medicine in Herndon, VA

Active since March 20, 2007CLIA 49D0222460 · Microscopy
555 HERNDON PARKWAY, SUITE 100, HERNDON, VA 20170(703) 481-1505(703) 742-8793 Get Directions Write a Review

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

About Herndon Family Medicine NPPES

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

HERNDON FAMILY MEDICINE (NPI 1316062581) is a healthcare organization registered as a family medicine in Herndon, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through August 5, 2028 and lists James P Jenkins, President, as its authorized official.

NPPES Registry Identity

NPI1316062581
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAIRFAX FAMILY PRACTICE CENTERS PC
Location Address555 HERNDON PARKWAY, SUITE 100Herndon, VA 20170-4828
Mailing AddressPo Box 791128Baltimore, MD 21279-1128 · (703) 481-1505 · Fax (703) 742-8793
Fax(703) 742-8793
Organization SubpartYes
Authorized OfficialJames P JenkinsPresident · (703) 255-9100
Enumeration DateMarch 20, 2007
Last NPPES UpdateDecember 27, 2007
✔ NPI 1316062581 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.
555 HERNDON PARKWAY, Herndon, VA 20170

Other Names 1

Doing Business AsHerndon Family Medicine

Other Identifiers 1

Medicare PING00532VA

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) 49D0222460

Herndon Family Medicine · Herndon, VA
Active · expires Aug 5, 2028
CLIA Number49D0222460
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2026
Certificate Expiration DateAugust 5, 2028
Laboratory DirectorRachel C. Bak
Laboratory Phone(703) 481-1505
Laboratory LocationHerndon Family Medicine381 Elden St #1000, Herndon, VA 20170
CLIA data matches this NPI record on: 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.

Family Medicine
555 HERNDON PARKWAY, STE 100
HERNDON, VA 20170
Family Medicine
555 HERNDON PARKWAY, SUITE 100
HERNDON, VA 20170
Nurse Practitioner (Family)
555 HERNDON PARKWAY, SUITE 100
HERNDON, VA 20170
Family Medicine
555 HERNDON PARKWAY, SUITE 100
HERNDON, VA 20170

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 1316062581. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Herndon Family Medicine.

Where is Fairfax Family Practice Centers PC located?

Fairfax Family Practice Centers PC is located at 555 Herndon Parkway Suite 100, Herndon, VA 20170. The listed phone number is (703) 481-1505.

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 49D0222460) is associated with this NPI, valid through August 5, 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.