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PRINCE WILLIAM FAMILY MEDICINE GAINESVILLE
NPI 1588788764
Family Medicine in Gainesville, VA

Active since March 16, 2007CLIA Certified · 2 labs
8078 CRESCENT PARK DRIVE, SUITE 201, GAINESVILLE, VA 20155(703) 257-8090(703) 257-7822 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prince William Family Medicine Gainesville NPPES

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

PRINCE WILLIAM FAMILY MEDICINE GAINESVILLE (NPI 1588788764) is a healthcare organization registered as a family medicine in Gainesville, Virginia and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists James P Jenkins, President, as its authorized official.

NPPES Registry Identity

NPI1588788764
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAIRFAX FAMILY PRACTICE CENTERS PC
Location Address8078 CRESCENT PARK DRIVE, SUITE 201Gainesville, VA 20155
Mailing AddressPo Box 791128Baltimore, MD 21279-1128 · (703) 257-8090 · Fax (703) 257-7822
Phone(703) 257-8090
Fax(703) 257-7822
Organization SubpartNo
Authorized OfficialJames P JenkinsPresident · (703) 255-9100
Enumeration DateMarch 16, 2007
Last NPPES UpdateDecember 26, 2007
✔ NPI 1588788764 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.
8078 CRESCENT PARK DRIVE, Gainesville, VA 20155
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Other Names 1

Doing Business AsPrince William Family Medicine Gainesville

Other Identifiers 1

Medicare PINC06907VA

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 2

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 49D1070152

Prince William Family Medicine Of Gainesville · Gainesville, VA
Active · expires Jun 20, 2027
CLIA Number49D1070152
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorClark Craig, MD
Laboratory Phone(703) 753-4999
Laboratory LocationPrince William Family Medicine Of Gainesville8078 Crescent Park Drive - Suite 201, Gainesville, VA 20155
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0883544

Prince William Family Medicine · Manassas, VA
Active · expires Dec 10, 2026
CLIA Number49D0883544
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorEmily Faltemier
Laboratory Phone(703) 257-8090
Laboratory LocationPrince William Family Medicine8100 Ashton Avenue - Suite 101, Manassas, VA 20109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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. CHI G YOUNG MD
Family Medicine
8078 CRESCENT PARK DRIVE, SUITE 101
GAINESVILLE, VA 20155
Prince William County (540) 636-2028

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 1588788764. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is doing business as Prince William Family Medicine Gainesville.

Where is Fairfax Family Practice Centers PC located?

Fairfax Family Practice Centers PC is located at 8078 Crescent Park Drive Suite 201, Gainesville, VA 20155. The listed phone number is (703) 257-8090.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.