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FREDERICKSBURG CHRISTIAN HEALTH CENTER
NPI 1639222359
Family Medicine in Fredericksburg, VA

Active since January 18, 2007CLIA 49D1009630 · Waiver
1129 HEATHERSTONE DR, FREDERICKSBURG, VA 22407(540) 785-8500(540) 785-5328 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Fredericksburg Christian Health Center NPPES

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

FREDERICKSBURG CHRISTIAN HEALTH CENTER (NPI 1639222359) is a healthcare organization registered as a family medicine in Fredericksburg, Virginia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Theron Stinar, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1639222359
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFREDERICKSBURG CHRISTIAN HEALTH CENTER
Location Address1129 HEATHERSTONE DRFredericksburg, VA 22407-4828
Mailing Address1129 Heatherstone DrFredericksburg, VA 22407-4828 · (540) 785-8500 · Fax (540) 785-5328
Phone(540) 785-8500
Fax(540) 785-5328
Organization SubpartNo
Authorized OfficialTheron StinarMedical Director · (540) 785-8500
Enumeration DateJanuary 18, 2007
Last NPPES UpdateOctober 26, 20222 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1639222359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
1129 HEATHERSTONE DR, Fredericksburg, VA 22407
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fredericksburg Christian Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Fredericksburg Christian Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Lindsey Adams, NP
Nurse Practitioner
NPI 1124805361
1129 HEATHERSTONE DR
Fredericksburg, VA 22407
(540) 785-8500
✔ PECOS✔ Accepts MedicareSame address
Mkiyah Gonzalez, N.P
Nurse Practitioner
NPI 1376826248
1129 HEATHERSTONE DR
Fredericksburg, VA 22407
(540) 785-8500
✔ PECOS✔ Accepts MedicareSame address
Theron Stinar, D.O.
Family Practice
NPI 1790883866
1129 HEATHERSTONE DR SUITE 101
Fredericksburg, VA 22407
(540) 785-8500
✔ PECOS✔ Accepts MedicareSame address
Quintina Foster-Jackson
Nurse Practitioner
NPI 1255789160
4510 PLANK ROAD
Fredericksburg, VA 22407
(540) 785-9900
✔ PECOS✔ Accepts Medicare0.6 mi
Jennifer Goodrich
Mental Health Counselor
NPI 1225585409
6408 GROVEDALE DR STE 103
Alexandria, VA 22310
(202) 329-6078
✔ PECOS✔ Accepts Medicare39 mi
Joanna Crawford, DO
Family Practice
NPI 1558578492
1441 E 75TH PL
Tulsa, OK 74136
(918) 710-4200
✔ PECOS✔ Accepts Medicare1,028 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 49D1009630

Fredericksburg Christian Health Center · Fredericksburg, VA
Active · expires Feb 19, 2027
CLIA Number49D1009630
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorTimothy A. Powell
Laboratory Phone(540) 785-8500
Laboratory LocationFredericksburg Christian Health Center1129 Heatherstone Drive - Sutie 101, Fredericksburg, VA 22407
CLIA data matches this NPI record on: Address 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 Fredericksburg Christian Health Center's NPI number?

The NPI number for Fredericksburg Christian Health Center is 1639222359. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Fredericksburg Christian Health Center located?

Fredericksburg Christian Health Center is located at 1129 Heatherstone Dr, Fredericksburg, VA 22407. The listed phone number is (540) 785-8500.

What is Fredericksburg Christian Health Center's specialty?

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

Is Fredericksburg Christian Health Center enrolled in Medicare?

Yes. Fredericksburg Christian Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fredericksburg Christian Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Fredericksburg Christian Health Center. 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. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Mental Health Counselor (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fredericksburg Christian Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1009630) is associated with this NPI, valid through February 19, 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 Fredericksburg Christian Health Center was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.