ZION FAMILY PRACTICE, LLC
NPI 1417420621
Family Medicine in Washington, DC
About Zion Family Practice, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZION FAMILY PRACTICE, LLC (NPI 1417420621), doing business as Zion Family Practice, is a healthcare organization registered as a family medicine in Washington, District Of Columbia and active in the NPI registry since January 2019. The organization lists Jarita Hagans, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Zion Family Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Zion Family Practice, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Zion Family Practice, LLC's NPI number?
The NPI number for Zion Family Practice, LLC is 1417420621. It was assigned to this organization in the NPPES registry on January 10, 2019. The provider is doing business as Zion Family Practice.
Where is Zion Family Practice, LLC located?
Zion Family Practice, LLC is located at 2616 Martin Luther King Jr Ave SE, Washington, DC 20020. The listed phone number is (301) 500-0779.
What is Zion Family Practice, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Zion Family Practice, LLC enrolled in Medicare?
Yes. Zion Family Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Zion Family Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Zion Family Practice, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Zion Family Practice, LLC was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Zion Family Practice, Llc · NPI 1417420621
Family Medicine organization in Washington, District of Columbia. Organization record, active in the CMS NPPES registry since January 10, 2019.
## Identity
- **NPI:** 1417420621 (Entity type: Organization)
- **Enumerated:** January 10, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Zion Family Practice (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jarita Hagans, OWNER
## Practice location
- **Address:** 2616 MARTIN LUTHER KING JR AVE SE, Washington, DC 20020-7715
- **Phone:** (301) 500-0779
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1417420621) · Data from the CMS NPPES public registry.