HERITAGE FAMILY PRACTICE ASSOCIATES, P.C.
NPI 1881765279
Family Medicine in Fairfax, VA

Q: What is Heritage Family Practice Associates, P.C.'s specialty?

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

Active since November 10, 2006CLIA 49D0678354 · Waiver

4001 FAIR RIDGE DR, #101, FAIRFAX, VA 22033(703) 385-6789(703) 352-9409 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Heritage Family Practice Associates, P.c. NPPES

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

HERITAGE FAMILY PRACTICE ASSOCIATES, P.C. (NPI 1881765279) is a healthcare organization registered as a family medicine in Fairfax, Virginia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists James Overton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1881765279

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHERITAGE FAMILY PRACTICE ASSOCIATES, P.C.

Location Address4001 FAIR RIDGE DR, #101Fairfax, VA 22033-2917

Mailing Address4001 Fair Ridge Dr, #101Fairfax, VA 22033-2917 · (703) 385-6789 · Fax (703) 352-9409

Phone(703) 385-6789

Fax(703) 352-9409

Organization SubpartNo

Authorized OfficialJames OvertonOffice Manager · (703) 385-6789

Enumeration DateNovember 10, 2006

Last NPPES UpdateApril 9, 2014

✔ NPI 1881765279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0645748

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.

4001 FAIR RIDGE DR, Fairfax, VA 22033

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Other Identifiers 1

Medicare PIN619286VA

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 49D0678354

Heritage Family Practice PC · Fairfax, VA

Active · expires Jan 31, 2028

CLIA Number49D0678354

Laboratory TypePhysician Office

Certificate Effective DateFebruary 1, 2026

Certificate Expiration DateJanuary 31, 2028

Laboratory DirectorJee Eun Lee Karl

Laboratory Phone(703) 385-6789

Laboratory LocationHeritage Family Practice PC4001 Fair Ridge Dr Suite 101, Fairfax, VA 22033

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSSELL P. SENECA M.D.

Surgery

4001 FAIR RIDGE DR, SUITE 304
FAIRFAX, VA 22033

Fairfax County (703) 359-8640

PROF. SALLY A MCFARLAND MD

Internal Medicine

4001 FAIR RIDGE DR, SUITE 303
FAIRFAX, VA 22033

Fairfax County (703) 539-8601

FAIR RIDGE OB/GYN ASSOCIATES , PC

Obstetrics & Gynecology

4001 FAIR RIDGE DR, 202
FAIRFAX, VA 22033

Fairfax County (703) 591-2223

JULIA C. STONE, LMFT, PC

Community/Behavioral Health

4001 FAIR RIDGE DR, SUITE 302
FAIRFAX, VA 22033

Fairfax County (703) 851-3119

BROOKE LEIGH JOHNSON PT, DPT

Physical Therapist

4001 FAIR RIDGE DR, SUITE 203
FAIRFAX, VA 22033

Fairfax County (703) 865-7680

VINCENT JAMES MASCATELLO MD

Radiology (Pediatric Radiology)

4001 FAIR RIDGE DR, #103, FAIR OAKS IMAGING CENTER
FAIRFAX, VA 22033

Fairfax County (703) 385-5203

JAMIE L ZAITA MD

Obstetrics & Gynecology

4001 FAIR RIDGE DR, 202
FAIRFAX, VA 22033

Fairfax County (703) 591-2223

DR. JANET REBECCA LAUBGROSS PHD

Psychologist (Clinical)

4001 FAIR RIDGE DR, SUITE #305
FAIRFAX, VA 22033

Fairfax County (703) 591-7828

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 Heritage Family Practice Associates, P.C.'s NPI number?

The NPI number for Heritage Family Practice Associates, P.C. is 1881765279. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Heritage Family Practice Associates, P.C. located?

Heritage Family Practice Associates, P.C. is located at 4001 Fair Ridge Dr #101, Fairfax, VA 22033. The listed phone number is (703) 385-6789.

What is Heritage Family Practice Associates, P.C.'s specialty?

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

Does Heritage Family Practice Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0678354) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heritage Family Practice Associates, P.C. was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.