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MAHONEY FAMILY MEDICINE
NPI 1356768097
Family Medicine in Martinsville, VA

Active since March 19, 2014CLIA 49D1032709 · Waiver
445 COMMONWEALTH BLVD E, SUITE A, MARTINSVILLE, VA 24112(276) 666-0500(276) 666-0400 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mahoney Family Medicine NPPES

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

MAHONEY FAMILY MEDICINE (NPI 1356768097) is a healthcare organization registered as a family medicine in Martinsville, Virginia and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Mark Thomas Mahoney, Owner, as its authorized official.

NPPES Registry Identity

NPI1356768097
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARK T MAHONEY DO PC
Location Address445 COMMONWEALTH BLVD E, SUITE AMartinsville, VA 24112-2086
Mailing AddressPo Box 5544Martinsville, VA 24115-5544 · (276) 666-0500 · Fax (276) 666-0400
Phone(276) 666-0500
Fax(276) 666-0400
Organization SubpartNo
Authorized OfficialMark Thomas MahoneyOwner · (276) 666-0500
Enumeration DateMarch 19, 2014
✔ NPI 1356768097 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 · 0102201617
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.
445 COMMONWEALTH BLVD E, Martinsville, VA 24112
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Other Names 1

Other NameMahoney Family Medicine

Other Identifiers 2

Other49D1032709VA · Clia
Medicare UPINI22152VA

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 of Waiver 49D1032709

Mark T Mahoney, Do, PC · Martinsville, VA
Active · expires Mar 15, 2028
CLIA Number49D1032709
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorMark T. Mahoney
Laboratory Phone(276) 666-0500
Laboratory LocationMark T Mahoney, Do, PC100 College Drive, Martinsville, VA 24112
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TYLER ANDREW GRAY CPO
Orthotist
445 COMMONWEALTH BLVD E
MARTINSVILLE, VA 24112
Martinsville City (276) 634-5690
REBEKAH SHELTON LPC
Counselor (Professional)
445 COMMONWEALTH BLVD E
MARTINSVILLE, VA 24112
Martinsville City (276) 632-1113
DR. MYRON EDWARD ELLER JR. M.D.
Family Medicine
445 COMMONWEALTH BLVD E
MARTINSVILLE, VA 24112
Martinsville City (276) 632-3841
DR. JOEL ADAMS SMITHERS D.O.
Neuromusculoskeletal Medicine & OMM
445 COMMONWEALTH BLVD E, STE A
MARTINSVILLE, VA 24112
Martinsville City (276) 226-2282
FAVERO FAMILY PRACTICE INCORPORATED
Family Medicine
445 COMMONWEALTH BLVD E, SUITE A
MARTINSVILLE, VA 24112
Martinsville City (276) 666-0500
COMMONWEALTH FAMILY PHYSICIANS, INC.
Family Medicine
445 COMMONWEALTH BLVD E
MARTINSVILLE, VA 24112
Martinsville City (276) 632-3841

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 Mark T Mahoney Do PC's NPI number?

The NPI number for Mark T Mahoney Do PC is 1356768097. It was assigned to this organization in the NPPES registry on March 19, 2014. The provider is also known as Mahoney Family Medicine.

Where is Mark T Mahoney Do PC located?

Mark T Mahoney Do PC is located at 445 Commonwealth Blvd E Suite A, Martinsville, VA 24112. The listed phone number is (276) 666-0500.

What is Mark T Mahoney Do PC's specialty?

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

Does Mark T Mahoney Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1032709) is associated with this NPI, valid through March 15, 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 Mark T Mahoney Do PC was last updated on March 19, 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.