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ROANOKE FAMILY MEDICINE INC
NPI 1508963794
Family Medicine in Roanoke, VA

Active since September 20, 2006CLIA 49D2090447 · Waiver
3990 COLONIAL AVE, ROANOKE, VA 24018(540) 772-1006(540) 772-1086 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roanoke Family Medicine Inc NPPES

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

ROANOKE FAMILY MEDICINE INC (NPI 1508963794) is a healthcare organization registered as a family medicine in Roanoke, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Edward L Wilkes, President, as its authorized official.

NPPES Registry Identity

NPI1508963794
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROANOKE FAMILY MEDICINE INC
Location Address3990 COLONIAL AVERoanoke, VA 24018-3740
Mailing AddressPo Box 4127Roanoke, VA 24015-0127 · (540) 981-9394 · Fax (540) 344-7154
Phone(540) 772-1006
Fax(540) 772-1086
Organization SubpartNo
Authorized OfficialEdward L WilkesPresident · (540) 721-1006
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 25, 2014
✔ NPI 1508963794 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.
3990 COLONIAL AVE, Roanoke, VA 24018
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Other Identifiers 1

Medicare PINC02177

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

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 49D2090447

Roanoke Family Medicine, Inc · Roanoke, VA
Active · expires Jan 22, 2027
CLIA Number49D2090447
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorWilliam F. Ball
Laboratory Phone(540) 772-1006
Laboratory LocationRoanoke Family Medicine, Inc3390 Colonial Avenue, Roanoke, VA 24018
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Roanoke Family Medicine Inc's NPI number?

The NPI number for Roanoke Family Medicine Inc is 1508963794. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Roanoke Family Medicine Inc located?

Roanoke Family Medicine Inc is located at 3990 Colonial Ave, Roanoke, VA 24018. The listed phone number is (540) 772-1006.

What is Roanoke Family Medicine Inc's specialty?

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

Does Roanoke Family Medicine Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2090447) is associated with this NPI, valid through January 22, 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 Roanoke Family Medicine Inc was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.