FAMILY MEDICINE OF LAKE RIDGE
NPI 1417045816
Family Medicine in Woodbridge, VA

Q: What is Family Medicine Of Lake Ridge PC's NPI number?

The NPI number for Family Medicine Of Lake Ridge PC is 1417045816. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is also known as Family Medicine Of Lake Ridge.

Q: What is Family Medicine Of Lake Ridge PC's specialty?

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

Active since October 11, 2006

3401 COMMISSION CT, STE 201, WOODBRIDGE, VA 22192(703) 490-6265(703) 490-6713 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Family Medicine Of Lake Ridge NPPES

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

FAMILY MEDICINE OF LAKE RIDGE (NPI 1417045816) is a healthcare organization registered as a family medicine in Woodbridge, Virginia and active in the NPI registry since October 2006. The organization lists Gerry A Cope, Physician, as its authorized official.

NPPES Registry Identity

NPI1417045816

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY MEDICINE OF LAKE RIDGE PC

Location Address3401 COMMISSION CT, STE 201Woodbridge, VA 22192

Mailing Address3401 Commission Ct, Ste 201Woodbridge, VA 22192 · (703) 490-6265 · Fax (703) 490-6713

Phone(703) 490-6265

Fax(703) 490-6713

Organization SubpartNo

Authorized OfficialGerry A CopePhysician · (703) 490-6265

Enumeration DateOctober 11, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1417045816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in VA · 0101040586✔ Licensed in VA · 0101039027✔ Licensed in VA · 0024057411

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.

3401 COMMISSION CT, Woodbridge, VA 22192

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Other Names 1

Other NameFamily Medicine Of Lake Ridge

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Family Medicine Of Lake Ridge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Medicine Of Lake Ridge, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Donna Goodin, CFNP

Nurse Practitioner

NPI 1972700862

3401 COMMISSION CT STE 201
Woodbridge, VA 22192

(703) 490-6265

✔ PECOS✔ Accepts MedicareSame address

Peter Mendel, MD

Family Practice

NPI 1043219629

3401 COMMISSION CT SUITE 201
Woodbridge, VA 22192

(703) 490-6265

✔ PECOS✔ Accepts MedicareSame address

John Wierzbicki, D.O.

Family Practice

NPI 1316932809

12925 HIGHWAY 601 SUITE B MIDLAND FAMILY MEDICINE
Midland, NC 28107

(704) 888-3702

✔ PECOS✔ Accepts Medicare296 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Family Medicine Of Lake Ridge PC's NPI number?

The NPI number for Family Medicine Of Lake Ridge PC is 1417045816. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is also known as Family Medicine Of Lake Ridge.

Where is Family Medicine Of Lake Ridge PC located?

Family Medicine Of Lake Ridge PC is located at 3401 Commission Ct Ste 201, Woodbridge, VA 22192. The listed phone number is (703) 490-6265.

What is Family Medicine Of Lake Ridge PC's specialty?

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

Is Family Medicine Of Lake Ridge PC enrolled in Medicare?

Yes. Family Medicine Of Lake Ridge PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medicine Of Lake Ridge PC?

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

When was this NPI record last updated?

The NPPES record for Family Medicine Of Lake Ridge PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.