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LOUDOUN VALLEY FAMILY PRACTICE
NPI 1609302645
Family Medicine in Purcellville, VA

Active since May 11, 2017CLIA 49D0992560 · Waiver
117 N. BAILEY LANE, SUITE 200, PURCELLVILLE, VA 20132(540) 338-6101(540) 338-7803 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2023, Aug 12, 2021, May 11, 2017 (3 updates tracked since 2017).

About Loudoun Valley Family Practice NPPES

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

LOUDOUN VALLEY FAMILY PRACTICE (NPI 1609302645) is a healthcare organization registered as a family medicine in Purcellville, Virginia and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609302645
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLOUDOUN MEDICAL GROUP, PC
Location Address117 N. BAILEY LANE, SUITE 200Purcellville, VA 20132-3085
Mailing Address224d Cornwall St Nw, Suite 403Leesburg, VA 20176-2700 · (703) 737-6001 · Fax (703) 443-8643
Phone(540) 338-6101
Fax(540) 338-7803
Organization SubpartYes
Authorized OfficialMary Beth TamasyCeo · (703) 737-6010
Enumeration DateMay 11, 2017
Last NPPES UpdateAugust 18, 20233 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1609302645 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.
117 N. BAILEY LANE, Purcellville, VA 20132
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Other Names 1

Doing Business AsLoudoun Valley Family Practice

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 49D0992560

Loudoun Valley Family Practice · Purcellville, VA
Active · expires Oct 18, 2027
CLIA Number49D0992560
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorJessica Good
Laboratory Phone(540) 338-6101
Laboratory LocationLoudoun Valley Family Practice205 E Hirst Road, Suite 200, Purcellville, VA 20132
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 Loudoun Medical Group, PC's NPI number?

The NPI number for Loudoun Medical Group, PC is 1609302645. It was assigned to this organization in the NPPES registry on May 11, 2017. The provider is doing business as Loudoun Valley Family Practice.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 117 N. Bailey Lane Suite 200, Purcellville, VA 20132. The listed phone number is (540) 338-6101.

What is Loudoun Medical Group, PC's specialty?

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

Does Loudoun Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0992560) is associated with this NPI, valid through October 18, 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 Loudoun Medical Group, PC was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.