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LAUREL FORK FAMILY PRACTICE
NPI 1336639657
Family Medicine in Laurel Fork, VA

Active since May 11, 2018
1205 STONE MOUNTAIN ROAD, LAUREL FORK, VA 24352(276) 398-2532(276) 398-2534 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurel Fork Family Practice NPPES

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

LAUREL FORK FAMILY PRACTICE (NPI 1336639657) is a healthcare organization registered as a family medicine in Laurel Fork, Virginia and active in the NPI registry since May 2018. The organization lists John William Tracy, Owner, as its authorized official.

NPPES Registry Identity

NPI1336639657
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAUREL FORK FAMILY PRACTICE
Location Address1205 STONE MOUNTAIN ROADLaurel Fork, VA 24352
Mailing AddressPo Box 85Laurel Fork, VA 24352-0085 · (276) 398-2532 · Fax (276) 398-2534
Phone(276) 398-2532
Fax(276) 398-2534
Organization SubpartNo
Authorized OfficialJohn William TracyOwner · (276) 398-2532
Enumeration DateMay 11, 2018
✔ NPI 1336639657 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 · 0101236128
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.
1205 STONE MOUNTAIN ROAD, Laurel Fork, VA 24352
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Other Identifiers 1

Medicaid190001221VA

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

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 Laurel Fork Family Practice's NPI number?

The NPI number for Laurel Fork Family Practice is 1336639657. It was assigned to this organization in the NPPES registry on May 11, 2018.

Where is Laurel Fork Family Practice located?

Laurel Fork Family Practice is located at 1205 Stone Mountain Road, Laurel Fork, VA 24352. The listed phone number is (276) 398-2532.

What is Laurel Fork Family Practice's specialty?

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

When was this NPI record last updated?

The NPPES record for Laurel Fork Family Practice was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.