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TOWN CENTER FAMILY MEDICINE
NPI 1417071697
Family Medicine in Reston, VA

Active since March 16, 2007CLIA 49D0912609 · Waiver
12110 SUNSET HILLS ROAD, LOWER LEVEL 20, RESTON, VA 20190(703) 834-1473(703) 318-7463 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Town Center Family Medicine NPPES

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

TOWN CENTER FAMILY MEDICINE (NPI 1417071697) is a healthcare organization registered as a family medicine in Reston, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists James P Jenkins, President, as its authorized official.

NPPES Registry Identity

NPI1417071697
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAIRFAX FAMILY PRACTICE CENTERS PC
Location Address12110 SUNSET HILLS ROAD, LOWER LEVEL 20Reston, VA 20190
Mailing AddressPo Box 791128Baltimore, MD 21279-1128 · (703) 834-1473 · Fax (703) 318-7463
Phone(703) 834-1473
Fax(703) 318-7463
Organization SubpartNo
Authorized OfficialJames P JenkinsPresident · (703) 255-9100
Enumeration DateMarch 16, 2007
Last NPPES UpdateDecember 26, 2007
✔ NPI 1417071697 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.
12110 SUNSET HILLS ROAD, Reston, VA 20190
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Other Names 1

Doing Business AsTown Center 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 of Waiver 49D0912609

Town Center Family Medicine · Reston, VA
Active · expires Jul 6, 2027
CLIA Number49D0912609
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorEmily Faltemier
Laboratory Phone(703) 834-1473
Laboratory LocationTown Center Family Medicine11800 Sunrise Valley Drive - Suite 700, Reston, VA 20191
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

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

DR. MICHAEL G BOWERS DO
Family Medicine
12110 SUNSET HILLS ROAD, LL20
RESTON, VA 20190
Fairfax County (703) 834-1473

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 1417071697. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is doing business as Town Center Family Medicine.

Where is Fairfax Family Practice Centers PC located?

Fairfax Family Practice Centers PC is located at 12110 Sunset Hills Road Lower Level 20, Reston, VA 20190. The listed phone number is (703) 834-1473.

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 of Waiver (number 49D0912609) is associated with this NPI, valid through July 6, 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 Fairfax Family Practice Centers PC was last updated on December 26, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.